Individual
MS. KATE NELLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
800 MAIN ST, NEWBERRY, SC 29108-3351
(803) 276-5690
(803) 321-2234
Mailing address
PO BOX 738, NEWBERRY, SC 29108-0738
(803) 276-5690
(803) 321-2234
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6689
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AD35NE
—
SC
Enumeration date
12/11/2007
Last updated
12/11/2007
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