Individual
SONYA RENEE BLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
1205 PENDLETON ST, SUITE 372 BROWN BUILDING, COLUMBIA, SC 29201-3756
(803) 734-4525
(803) 734-4538
Mailing address
108 CEDAR FIELD LN, WEST COLUMBIA, SC 29170-1314
(803) 734-4525
(803) 734-4538
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
170
SC
1041C0700X
Clinical Social Worker
170
SC
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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