Individual
STACEE ROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
2414 BULL ST, COLUMBIA, SC 29201-1906
(803) 898-2461
Mailing address
2414 BULL ST, COLUMBIA, SC 29201-1906
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10854
SC
Other
Enumeration date
01/03/2018
Last updated
02/04/2021
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