Organization
SCDJJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMORRIE LASHAUN EVANS LMSW (SOCIAL WORKER)
(803) 896-4753
Entity
Organization
Contact information
Practice address
5000 BROAD RIVER RD, GOLF UNIT/BIRCHWOOD CAMPUS, COLUMBIA, SC 29212-3532
(803) 896-4753
Mailing address
5000 BROAD RIVER RD, COLUMBIA, SC 29212-3532
(803) 896-4753
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8850
SC
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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