Individual
MR. RYAN DRAFTS CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-CP
Contact information
Practice address
2805 MILLWOOD AVE, COLUMBIA, SC 29205-1298
(803) 234-8596
Mailing address
2805 MILLWOOD AVE, COLUMBIA, SC 29205-1298
(803) 234-8596
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10071
SC
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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