Individual
RUTH A IGLESIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1615 AUGUSTA RD, WEST COLUMBIA, SC 29169-5629
(803) 791-7577
(803) 791-1572
Mailing address
1615 AUGUSTA RD, WEST COLUMBIA, SC 29169-5629
(803) 791-7577
(803) 791-1572
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7246
SC
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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