Individual
MS. BRYONY S. CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW-CP
Contact information
Practice address
2400 LANE AVE, ANDERSON, SC 29621-3204
(864) 878-6830
(864) 878-5396
Mailing address
2400 LANE AVE, ANDERSON, SC 29621-3204
(864) 359-8888
(864) 722-0261
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8873
SC
1041C0700X
Clinical Social Worker
Primary
8873
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LW1044
—
SC
Enumeration date
06/25/2015
Last updated
07/07/2017
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