Individual
MS. VIVIANA PALACIOS DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTER SOCIAL WORK
Contact information
Practice address
124 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 241-1040
(864) 241-1124
Mailing address
124 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 241-1040
(864) 241-1124
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301100
—
SC
Enumeration date
08/05/2006
Last updated
07/08/2007
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