Individual
DAQUANA MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
300 SPARTAN DR, COLUMBIA, SC 29212-3622
(803) 308-1762
Mailing address
300 SPARTAN DR, COLUMBIA, SC 29212-3622
(803) 308-1762
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11334
SC
Other
Enumeration date
09/16/2015
Last updated
09/11/2025
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