Individual
MRS. BOBBIE KENNEDY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW-CP
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10148
SC
1041C0700X
Clinical Social Worker
10148
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10148
CLINICAL SOCIAL WORKER
SC
Enumeration date
07/03/2013
Last updated
02/24/2018
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