Individual
MEGAN R. MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
1021 PINNACLE POINT DR, COLUMBIA, SC 29223
(803) 562-2127
(803) 996-1510
Mailing address
1021 PINNACLE POINT DR, COLUMBIA, SC 29223-5740
(803) 562-2127
(803) 996-1510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322842
—
SC
Enumeration date
09/16/2008
Last updated
06/21/2018
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