Individual
AMANDA WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6977 EDMUND HWY # A, PELION, SC 29123-9739
(863) 634-5477
Mailing address
6977 EDMUND HWY # A, PELION, SC 29123-9739
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
01/06/2026
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