Individual
MARQUITA HEYWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-I
Contact information
Practice address
1 WINSOR COVE SUITE 303, COLUMBIA, SC 29223
(803) 851-6801
Mailing address
109 WATSON WAY, COLUMBIA, SC 29229-3366
(803) 917-5866
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6404
SC
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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