Individual
DEIDRA SWAILS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
860 S CAROLINA RD # 6, EASTOVER, SC 29044-5052
(803) 394-1479
Mailing address
721 ROPER POND CIR, COLUMBIA, SC 29206-1757
(803) 673-2968
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9342
SC
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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