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Organization

CENTER FOR PERSONAL GROWTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SALLY A SMITH SOCIAL WORKER (OFFICE MANAGER)
(803) 283-3810
Entity
Organization

Contact information

Practice address
150 B W THOMAS DR, #125, FT. MILL, SC 29708
(803) 517-9816
(803) 548-5343
Mailing address
150 B.W. THOMAS DRIVE, #125, FT. MILL, SC 29708
(803) 517-9816
(803) 548-5343

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6244
SC

Other

Enumeration date
09/19/2008
Last updated
04/30/2015
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