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Individual

ROBIN DENICE GRACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2638 TWO NOTCH RD, COLUMBIA, SC 29204-1454
(803) 753-1593
Mailing address
1924 ROLLING HILLS RD, COLUMBIA, SC 29210-5914
(803) 237-4709

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9252
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1908081962
SC
Enumeration date
11/08/2021
Last updated
10/19/2023
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