Individual
MS. MARRIONETTIA DAVIS PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
2065 BLOSSOM ST, SUITE 204, COLUMBIA, SC 29205-2220
(803) 473-6613
Mailing address
1728 PINEWOOD DR, COLUMBIA, SC 29205-3274
(803) 473-6613
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5436
SC
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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