Individual
DEVORAH LEAH MARRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
2805 MILLWOOD AVE, COLUMBIA, SC 29205-1298
(803) 580-6913
Mailing address
22 ASHWORTH LN, COLUMBIA, SC 29206-1374
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8046
SC
101YP2500X
Professional Counselor
8046
SC
Other
Enumeration date
09/09/2022
Last updated
09/23/2022
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