Individual
MS. SHIRLEY FURTICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, AP-CP
Contact information
Practice address
1919 GADSDEN ST, COLUMBIA, SC 29201-2346
(803) 779-5356
(803) 779-2135
Mailing address
PO BOX 8462, COLUMBIA, SC 29202-8462
(803) 779-5356
(803) 779-2135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3286
SC
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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