Individual
MRS. AUDRA MONTGOMERY BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
200 PATEWOOD DR STE A200, GREENVILLE, SC 29615-3580
(864) 454-5115
(864) 454-5111
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13623
SC
Other
Enumeration date
08/31/2020
Last updated
05/26/2021
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