Individual
MARY ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3809 ROSEWOOD DR, COLUMBIA, SC 29205-3533
(803) 786-1844
(803) 754-7783
Mailing address
3809 ROSEWOOD DR, COLUMBIA, SC 29205-3533
(803) 786-1844
(803) 754-7783
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9489
SC
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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