Individual
BARBARA ANNE MCKENZIE VANDAHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
250 DEWEY AVE, SPARTANBURG, SC 29303-3009
(864) 585-0366
(864) 585-9208
Mailing address
250 DEWEY AVE, SPARTANBURG, SC 29303-3009
(864) 585-0366
(864) 585-9208
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6164
SC
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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