Organization
TAMARAH STASCHIAK SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARAH STASCHIAK LPC (CLINICAL COUNSELOR)
(410) 562-5491
Entity
Organization
Contact information
Practice address
251 CLOVER RD, LEESVILLE, SC 29070-7739
(803) 687-1584
Mailing address
1431 DENNY RD, COLUMBIA, SC 29203-2521
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5625
SC
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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