Individual
EMMA KEADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2113 ADAMS GRV STE 101, COLUMBIA, SC 29203-6957
(803) 256-0531
Mailing address
107 CHISWICK CT, IRMO, SC 29063-2135
(860) 682-2573
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16959
SC
104100000X
Social Worker
MSW012225
GA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
07/07/2026
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