Individual
JESSICA SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
140 STONERIDGE DR, SUITE 350, COLUMBIA, SC 29210-8200
(803) 779-5500
Mailing address
2744 GLENWOOD RD, COLUMBIA, SC 29204-2609
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10407
SC
Other
Enumeration date
03/21/2016
Last updated
03/21/2016
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