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Individual

MICAH BURRIS WILLIFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
524 DOCTORS CT, CHESTER, SC 29706-8644
(803) 581-8311
(803) 385-2440
Mailing address
524 DOCTORS CT, CHESTER, SC 29706-8644

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12737
SC

Other

Enumeration date
09/18/2020
Last updated
09/18/2020
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