Individual
CONNIE HART CHISOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 SPARKLEBERRY LN APT 210, COLUMBIA, SC 29229-6563
(803) 664-4772
Mailing address
840 SPARKLEBERRY LN APT 210, COLUMBIA, SC 29229-6563
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6964
SC
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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