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Individual

GENORA SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2015 MARION ST, COLUMBIA, SC 29201-2113
(803) 898-0123
Mailing address
1313 OAK ST, COLUMBIA, SC 29204-1839
(803) 898-0123

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5148
SC

Other

Enumeration date
01/30/2007
Last updated
07/08/2007
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