Individual
BRENDA GALE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
435 N CEDAR ST, SUMMERVILLE, SC 29483-6407
(843) 873-1592
(843) 871-2936
Mailing address
435 N CEDAR ST, SUMMERVILLE, SC 29483-6407
(843) 873-1592
(843) 871-2936
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4738
SC
Other
Enumeration date
11/07/2005
Last updated
10/17/2007
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