Individual
SHELIAAND DIEDRE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 CARTER STREET, COLUMBIA, SC 29204
(803) 786-1183
(803) 735-1021
Mailing address
108 MARBUN RD, COLUMBIA, SC 29223-4009
(803) 788-6881
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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