Individual
TANISHA WASHINGTON WOODBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 E ASHBY RD, FLORENCE, SC 29506-7330
(843) 758-6849
Mailing address
4042 WASHINGTON RD, MULLINS, SC 29574-5024
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
SC
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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