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Organization
DEPARTMENT OF JUVENILE JUSTICE
Active
Organization
DEPARTMENT OF JUVENILE JUSTICE
Active
Other names
Department of Juvenile Justice
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIAN OGLESBY MA (SOCIAL WORKER)
(803) 896-5267
Entity
Organization
Contact information
Practice address
4900 BROAD RIVER RD, COLUMBIA, SC 29212-3531
(803) 896-5267
Mailing address
4900 BROAD RIVER RD, COLUMBIA, SC 29212-3531
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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