Individual
MRS. TIFFANY C ULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
108 PALMETTO PARK BLVD STE D, LEXINGTON, SC 29072-7969
(803) 996-1500
Mailing address
PO BOX 40066, COLUMBIA, SC 29240-0066
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13448
SC
Other
Enumeration date
11/05/2020
Last updated
03/18/2022
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