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Individual

BRIANNA WALTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3012 MILLWOOD AVE, COLUMBIA, SC 29205-1807
(803) 394-2366
Mailing address
3012 MILLWOOD AVE, COLUMBIA, SC 29205-1807

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11692
SC

Other

Enumeration date
01/16/2026
Last updated
01/16/2026
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