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Individual

MARY CANDACE BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1105 GREGG HWY NW, AIKEN, SC 29801-6341
(803) 649-1900
Mailing address
524 ARRINGTON AVE, NORTH AUGUSTA, SC 29841-3681
(470) 390-4282

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
13525
SC
104100000X
Social Worker
Primary
MSW009267
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AD01AK
SC
Enumeration date
04/01/2020
Last updated
08/31/2021
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