Individual
MS. GARETH NERISA FENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CPRP
Contact information
Practice address
3619 RIDGEWOOD AVE, COLUMBIA, SC 29203-5757
(803) 479-1287
(866) 803-3296
Mailing address
3619 RIDGEWOOD AVE, COLUMBIA, SC 29203-5757
(803) 479-1287
(866) 803-3296
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10947
SC
104100000X
Social Worker
MSW003580
GA
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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