Individual
MRS. CONNIE ANNETTE HAUDRICOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
404 HOLLY RIDGE LN, COLUMBIA, SC 29229-9424
(864) 569-2545
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11266
SC
Other
Enumeration date
09/16/2015
Last updated
07/08/2020
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