Individual
ANNA KATHERINE GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
955 W WADE HAMPTON BLVD, STE 4B, GREER, SC 29650-1296
(864) 640-1185
Mailing address
927 BENT CREEK RUN, GREER, SC 29651
(864) 640-1185
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6856
SC
Other
Enumeration date
07/29/2011
Last updated
09/16/2017
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