Individual
MICHELLE STICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
910 COOK RD, ORANGEBURG, SC 29118-2124
(803) 534-2328
(803) 531-8419
Mailing address
PO BOX 1166, 910 COOK ROAD, ORANGEBURG, SC 29116-1166
(803) 534-2328
(803) 531-8419
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8926
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770572488
—
SC
Enumeration date
12/29/2014
Last updated
12/29/2014
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