Individual
DR. SANDRA MARIE COULON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1233 WASHINGTON ST, STE. 900, COLUMBIA, SC 29201-3221
(225) 938-6624
Mailing address
1233 WASHINGTON ST, STE. 900, COLUMBIA, SC 29201-3221
(225) 938-6624
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
IN PROCESS
SC
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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