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Individual

MRS. MAXINE LATRICE BROWN-SARTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NCC

Contact information

Practice address
140 STONERIDGE DR STE 350, COLUMBIA, SC 29210-8258
(803) 779-5500
Mailing address
140 STONERIDGE DR STE 350, COLUMBIA, SC 29210-8258
(803) 779-5500

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
229993
101YP2500X
Professional Counselor
Primary
5682
SC
101YS0200X
School Counselor
242408
SC

Other

Enumeration date
07/22/2013
Last updated
07/22/2013
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