Individual
MAXINE DEUTSCHENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2744 MILLWOOD AVE, COLUMBIA, SC 29205-1221
(803) 960-1550
Mailing address
2744 MILLWOOD AVE, COLUMBIA, SC 29205-1221
(803) 960-1550
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10573
SC
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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