Individual
TELIYAH JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
250 DEWEY AVE, SPARTANBURG, SC 29303-3009
(864) 406-8080
Mailing address
115 MISTY FOREST WAY, PIEDMONT, SC 29673-9859
(864) 363-8454
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17180
SC
104100000X
Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/21/2023
Last updated
12/02/2024
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