Individual
MS. MARY LESLIE YARBOROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
735 DEERWOOD ST, COLUMBIA, SC 29205-4656
(803) 782-7605
Mailing address
735 DEERWOOD ST, COLUMBIA, SC 29205-4656
(803) 782-7605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4627
SC
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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