Individual
SHIANN DANIELLE WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
460 LANGDON ST, SPARTANBURG, SC 29302-1614
(864) 582-2411
Mailing address
460 LANGDON ST, SPARTANBURG, SC 29302-1614
(864) 582-2411
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
SW.17817CP
SC
Other
Enumeration date
07/25/2018
Last updated
05/09/2025
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