Individual
MS. VICKI J PROKOPCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S, LISW-CP
Contact information
Practice address
107 WESTPARK BLVD STE 140, COLUMBIA, SC 29210-3871
(216) 310-9182
Mailing address
107 WESTPARK BLVD STE 140, COLUMBIA, SC 29210-3871
(216) 310-9182
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12550
SC
1041C0700X
Clinical Social Worker
I.0005262
OH
Other
Enumeration date
01/05/2011
Last updated
02/24/2025
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