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Individual

TALLENT MARCHELLE WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1034 WILDWOOD CENTRE DR, COLUMBIA, SC 29229-8420
(803) 830-2202
Mailing address
623 PINE KNOT RD, BLYTHEWOOD, SC 29016-6912
(803) 830-2202
(803) 830-2202

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9857
SC

Other

Enumeration date
05/29/2025
Last updated
05/29/2025
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