Individual
BRENDA BRADLEY TRIVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
327 MAIN ST, SUITE 500, GREENWOOD, SC 29646-1601
(864) 942-9897
Mailing address
112 LEYLAND CT, GREENWOOD, SC 29649-1687
(864) 388-7777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8551
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336355437
GROUP NPI
SC
Enumeration date
08/14/2007
Last updated
08/14/2007
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