Individual
RONALD ROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW, MPH
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 809-1848
(864) 560-6074
Mailing address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 809-1848
(864) 560-6074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6909
SC
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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