Individual
MR. SHERROD LEE GARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 FAISON DR, COLUMBIA, SC 29203-3210
(803) 667-1742
Mailing address
220 FAISON DR, COLUMBIA, SC 29203-3210
(803) 667-1742
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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