Individual
CHERYL CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP, LPC, ATR-BC
Contact information
Practice address
1527 WADE HAMPTON BLVD, GREENVILLE, SC 29609-5047
(864) 501-3633
(864) 448-1766
Mailing address
1527 WADE HAMPTON BLVD, GREENVILLE, SC 29609-5047
(864) 501-3633
(864) 448-1766
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9476
SC
1041C0700X
Clinical Social Worker
177135
AK
1041C0700X
Clinical Social Worker
9476
SC
1041C0700X
Clinical Social Worker
Primary
C010137
NC
Other
Enumeration date
11/07/2012
Last updated
05/07/2024
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