Individual
MR. TERRY LEE FENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1721 SHIVERS RD, COLUMBIA, SC 29210-5413
(803) 896-8085
(803) 896-7451
Mailing address
1721 SHIVERS RD, COLUMBIA, SC 29210-5413
(803) 896-8085
(803) 896-7451
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3872
SC
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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