Individual
MS. MICHELLE G STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
228 WALNUT LN, COLUMBIA, SC 29212-8610
(803) 446-2316
Mailing address
228 WALNUT LN, COLUMBIA, SC 29212-8610
(803) 446-2316
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4618
SC
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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