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MS. ALLISON FOSTER DEFELICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
15 MEDICAL PARK RD, SUITE 103, COLUMBIA, SC 29203-8003
(803) 434-4300
(803) 434-4277
Mailing address
15 MEDICAL PARK RD, SUITE 300, COLUMBIA, SC 29203-8003
(803) 434-4300
(803) 434-4277

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
684
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PS0301
SC
Enumeration date
03/29/2006
Last updated
12/02/2008
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