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Individual

TANECA MATTHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2715 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 898-1555
Mailing address
2715 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 898-1555

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
11/02/2022
Last updated
11/02/2022
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