Individual
MADELINE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1817 PICKENS ST, COLUMBIA, SC 29201-2630
(803) 393-9710
Mailing address
1817 PICKENS ST, COLUMBIA, SC 29201-2630
(843) 997-0429
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8131
SC
Other
Enumeration date
11/26/2019
Last updated
10/16/2024
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