NPI 1467820803

Williba Brogdon

Practitioner Case Manager/Care Coordinator Sumter, SC

Practice location

Address: 730 Broad St C, Sumter, SC 29150-3356
Phone: (704) 701-0836

Registered specialties (5)

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Contractor

Other Service Providers Taxonomy 171W00000X

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Community Health Worker

Other Service Providers Taxonomy 172V00000X

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Peer Specialist

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1467820803
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Sep 2015
Record last updated: 2 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.