Individual
MARJORIE G CLONINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9 RICHLAND MEDICAL PARK DR STE 210, COLUMBIA, SC 29203-6859
(803) 346-5984
(803) 434-1920
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 293-7320
(803) 293-7330
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1465
SC
Other
Enumeration date
08/23/2017
Last updated
03/21/2018
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