Individual
MONIQUE MESHAUN MOULTRY-WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
2000 PARK ST STE 101-1313, COLUMBIA, SC 29201-2011
(803) 996-1500
Mailing address
2000 PARK ST STE 101-1313, COLUMBIA, SC 29201-2011
(933) 803-9313
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
16988
SC
1041C0700X
Clinical Social Worker
Primary
16988
SC
Other
Enumeration date
10/05/2018
Last updated
01/06/2025
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