Individual
MRS. KATHERINE VICK BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
410 E SHOCKLEY FERRY ROAD, ANDERSON, SC 29624-3847
(864) 225-6266
(864) 225-6267
Mailing address
410 E SHOCKLEY FERRY ROAD, ANDERSON, SC 29624-3847
(864) 225-6266
(864) 225-6267
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
007387
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1385
—
SC
Enumeration date
03/06/2007
Last updated
07/08/2007
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