Individual
CAITLIN STARR MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
4605 MONTICELLO RD STE 1, COLUMBIA, SC 29203-4156
(803) 714-0266
Mailing address
PO BOX 3788, COLUMBIA, SC 29230-3788
(803) 733-5969
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12964
SC
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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