Individual
MARY LILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
1709 LAUREL ST, COLUMBIA, SC 29201-2624
(803) 765-0700
Mailing address
1709 LAUREL ST, COLUMBIA, SC 29201-2624
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18318
SC
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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