Organization
IMPACT CLINICAL CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN CORBIN (LISW-CP)
(803) 549-8221
Entity
Organization
Contact information
Practice address
458 OLD CHEROKEE RD STE 201, LEXINGTON, SC 29072-6971
(803) 549-8221
Mailing address
PO BOX 1833, LEXINGTON, SC 29071-1833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
04/16/2021
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