Individual
MRS. LERA SHANTI THIERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2715 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 898-4777
(803) 898-4855
Mailing address
213 ARBOR FALLS DRIVE, COLUMBIA, SC 29229-8055
(803) 736-3169
(803) 736-3169
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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