Individual
MARYANN CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPCA
Contact information
Practice address
2805 MILLWOOD AVE, COLUMBIA, SC 29205-1298
(803) 569-3101
Mailing address
2805 MILLWOOD AVE, COLUMBIA, SC 29205-1298
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6891
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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