Individual
KABRA MORECE BENFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
300 BERKSHIRE DR STE F, COLUMBIA, SC 29223-1859
(980) 215-2505
(207) 591-9801
Mailing address
10 ROUTHLAND CT, COLUMBIA, SC 29209-3084
(803) 466-1131
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12788
SC
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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