Organization
REDISCOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LEANNA IRY GORDON LMSW (OWNER)
(843) 338-5205
Entity
Organization
Contact information
Practice address
253 HART ST, COLUMBIA, SC 29203-5417
(843) 338-5205
(803) 753-0115
Mailing address
253 HART ST, COLUMBIA, SC 29203-5417
(843) 338-5205
(803) 753-0115
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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