Individual
JANIELLY SPAGOLA DIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 CALHOUN ST, CHARLESTON, SC 29401-3538
(843) 402-7818
Mailing address
75 CALHOUN ST, CHARLESTON, SC 29401-3538
(843) 402-7818
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
269015
SC
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588615918
—
SC
Enumeration date
03/01/2010
Last updated
09/09/2014
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