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Individual

SONJA D GLOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA REHAB COUNSELING

Contact information

Practice address
2319 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-2042
(803) 536-1571
(803) 536-1463
Mailing address
2319 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-2042
(803) 536-1571
(803) 536-1463

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
413093
SC
Enumeration date
07/09/2006
Last updated
07/08/2007
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