Individual
MS. REBECCA ROTAN WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
223 STONERIDGE DR, COLUMBIA, SC 29210-8009
(803) 296-5990
(803) 296-2400
Mailing address
223 STONERIDGE DR, COLUMBIA, SC 29210-8009
(803) 296-5990
(803) 296-2400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3803
SC
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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