Most Relevant Information
Provider Data
| NPI Number: | 1003561390 |
| Provider Name: | RENEA BROWN BLIGEN LISW-CP/S |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 5604 |
Most Important Dates
| Enumeration Date: | 02/16/2022 |
| Last Updated: | 02/16/2022 |
Provider Practice Location
109 BEE ST
CHARLESTON
SC
294015703
Practice Location Phone/Fax
| Phone: | 8435775011 |
| Fax: |
Provider Mailing Location
2335 GIBBS RD
JOHNS ISLAND
SC
294558020
Provider Mailing Phone/Fax
| Phone: | 8435136384 |
| Fax: |