Individual
MELISSA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4975 LACROSS RD STE 351, NORTH CHARLESTON, SC 29406-6530
(800) 309-1159
Mailing address
1000 JEFFERSON ST STE 2C, LYNCHBURG, VA 24504-1724
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11187
SC
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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