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Organization

FOOTPRINTS SOUTH CAROLINA, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD ANDERSON (CEO)
(803) 980-1925
Entity
Organization

Contact information

Practice address
454 ANDERSON RD S, BTC- 598 SUITE 2, ROCK HILL, SC 29730-3392
(803) 980-1925
(803) 980-1935
Mailing address
454 ANDERSON RD S, BTC- 598 SUITE 2, ROCK HILL, SC 29730-3392
(803) 980-1925
(803) 980-1935

Taxonomy

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

Other

Enumeration date
09/14/2007
Last updated
12/04/2007
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