Individual
SALLY ROBERTS BRADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2805 MILLWOOD AVE, COLUMBIA, SC 29205-1298
(803) 917-8826
Mailing address
PO BOX 6481, COLUMBIA, SC 29260-6481
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13711
SC
1041C0700X
Clinical Social Worker
C012643
NC
Other
Enumeration date
05/27/2020
Last updated
04/24/2023
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