Individual
AMANDA J BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
1348 GLENHAVEN DR, COLUMBIA, SC 29205-4924
(803) 317-4408
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8512
SC
Other
Enumeration date
06/22/2021
Last updated
09/19/2022
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