Individual
MRS. MICHELLE LYNN ODEN WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
2601 MILLWOOD AVE, COLUMBIA, SC 29205-1218
(803) 603-5408
Mailing address
370 S DOGWOOD AVE, RIDGEWAY, SC 29130-6849
(803) 603-5408
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC.9732
SC
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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