Individual
MS. BROOKE ANDREGIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP, RPT
Contact information
Practice address
527 CAMPGROUND RD, LIBERTY, SC 29657-8815
(864) 810-4496
Mailing address
527 CAMPGROUND RD, LIBERTY, SC 29657-8815
(864) 810-4496
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11728
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11728
SC LICENSE
SC
Enumeration date
06/27/2016
Last updated
02/22/2021
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