Individual
MS. JOAN AMADO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S.W
Contact information
Practice address
15 MEDICAL PARK RD, SUITE 103, COLUMBIA, SC 29203-8003
(803) 434-4300
(803) 255-3451
Mailing address
15 MEDICAL PARK RD, SUITE 300, COLUMBIA, SC 29203-8003
(803) 255-3417
(803) 255-3451
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7391
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
QM0737
—
SC
Enumeration date
03/28/2006
Last updated
07/08/2007
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