Individual
MRS. SYLVIA S ROAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W., LISW-CP,
Contact information
Practice address
2012 HIGHWAY 160 W, SUITE 2, FORT MILL, SC 29708-8401
(704) 236-9390
(803) 693-0701
Mailing address
1362 SECRET PATH DR, FORT MILL, SC 29708-6545
(704) 236-9390
(803) 693-0701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9585
SC
1041C0700X
Clinical Social Worker
C006890
NC
1041C0700X
Clinical Social Worker
SW5237
FL
Other
Enumeration date
10/27/2006
Last updated
09/14/2010
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