Individual
MRS. LYSA ANNE MILLER-DUPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1615 AUGUSTA RD, WEST COLUMBIA, SC 29169
(803) 791-1511
(803) 791-1572
Mailing address
1615 AUGUSTA RD, WEST COLUMBIA, SC 29169
(803) 791-1511
(803) 791-1572
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6889
SC
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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