Individual
MR. ANTHONY L. WRIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-CP
Contact information
Practice address
2212 DEVINE ST, COLUMBIA, SC 29205-2402
(803) 201-0805
Mailing address
2212 DEVINE ST, COLUMBIA, SC 29205-2402
(803) 201-0805
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4728
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1044
—
SC
Enumeration date
03/16/2007
Last updated
04/20/2017
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