Individual
CASSANDRA CONYERS-RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 SHIVERS RD, COLUMBIA, SC 29210-5413
(803) 896-7461
Mailing address
1721 SHIVERS ROAD, COLUMBIA, SC 29210
(803) 896-7461
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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