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Individual

ANDREA LINDSAY WASHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LISW

Contact information

Practice address
1624 EBENEZER RD, ROCK HILL, SC 29732-1809
(803) 226-7189
(866) 402-4518
Mailing address
1624 EBENEZER RD, ROCK HILL, SC 29732-1809
(803) 226-7189
(866) 402-4518

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9066
SC
1041C0700X
Clinical Social Worker
C005905
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9066
SOUTH CAROLINA BOARD OF SOCIAL WORK EXAMINERS
SC
01
C005905
NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD
NC
Enumeration date
01/31/2007
Last updated
04/18/2017
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