Individual
CELITA BROOKE PROFFITT HASTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
4626 CLEMSON AVE, COLUMBIA, SC 29206-4401
(803) 556-7991
Mailing address
4626 CLEMSON AVE, COLUMBIA, SC 29206-4401
(803) 556-7991
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8488
SC
Other
Enumeration date
12/08/2006
Last updated
10/13/2023
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