Individual
DR. SHAKA ABDUL MOUSTAFA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
108 CAUGHMAN RIDGE RD, COLUMBIA, SC 29209-3114
(803) 477-7928
Mailing address
108 CAUGHMAN RIDGE RD, COLUMBIA, SC 29209-3114
(803) 477-7928
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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