Individual
ANNA GRACE DEIERLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1205 PENDLETON ST, SUITE 372, COLUMBIA, SC 29201-3756
(803) 734-4500
(803) 734-4538
Mailing address
1205 PENDLETON ST, SUITE 372, COLUMBIA, SC 29201-3756
(803) 734-4500
(803) 734-4538
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10811
SC
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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