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Individual

ANITA ELLISON-PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
400 OTARRE PKWY, CAYCE, SC 29033-3751
(803) 898-2261
Mailing address
400 OTARRE PKWY BLDG CK-4, CAYCE, SC 29033-3751
(803) 898-2261

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC

Other

Enumeration date
02/03/2026
Last updated
02/03/2026
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