Gladden, Jacquelyn Reed

Gladden, Jacquelyn Reed is an sole proprietor health care provider with primary practice located at 1135 Carter St , Columbia SC 29204-2811. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Gladden, Jacquelyn Reed can be contacted via phone (803) 786-1183.

Contact Information

Primary practice address
1135 Carter St Columbia SC 29204-2811
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 3032 South Carolina

Profile Details

NPI number 1245307198
LBN Legal business name Gladden, Jacquelyn Reed
Credentials SOCIAL WORKER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245307198 NPPES
South Carolina Other 3032 SOCIAL WORKER

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