Individual
DR. CLAIRE ROOF WELLBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1777 BULL ST, COLUMBIA, SC 29201-2523
(803) 814-5559
Mailing address
1777 BULL ST, COLUMBIA, SC 29201-2523
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1759
SC
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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