Individual
GLENDA LOIS QUICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LMSW, AADC
Contact information
Practice address
40 BALDWIN AVE, LUGOFF, SC 29078-9406
(803) 408-3262
(803) 408-8895
Mailing address
40 BALDWIN AVE, LUGOFF, SC 29078-9406
(803) 408-3262
(803) 408-8895
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
10011811
SC
104100000X
Social Worker
Primary
12712
SC
Other
Enumeration date
09/28/2010
Last updated
08/12/2021
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