Organization
FLORENCE DISTRICT ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANISHA WOODBERRY LPCI (THERAPIST)
(843) 758-6849
Entity
Organization
Contact information
Practice address
1201 E ASHBY RD, QUINBY, SC 29506-7330
(843) 758-6849
Mailing address
1201 E ASHBY RD, QUINBY, SC 29506-7330
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SD2101
SC
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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