Individual
MRS. TRACEY S. BRANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
129 NURSERY DR, ROEBUCK, SC 29376-2725
(864) 621-0955
Mailing address
129 NURSERY DR, ROEBUCK, SC 29376-2725
(864) 621-0955
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6318
SC
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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