Individual
ANNA GRACE RIDLEHUBER CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2711 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 726-9300
Mailing address
2711 COLONIAL DR, COLUMBIA, SC 29203-6818
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14393
SC
104100000X
Social Worker
17077
SC
104100000X
Social Worker
—
—
Other
Enumeration date
12/19/2023
Last updated
01/06/2025
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