Individual
NANCYE HARRELL VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
1 RICHLAND MEDICAL PARK DR STE 410, COLUMBIA, SC 29203-6833
(803) 545-5350
(803) 545-5353
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8501
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1205
—
SC
Enumeration date
01/23/2013
Last updated
04/11/2018
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