Individual
TERESA KEITH MAYBAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
3937 SUNSET BLVD, SUITE I, WEST COLUMBIA, SC 29169-2423
(803) 260-5688
Mailing address
3937 SUNSET BLVD, SUITE I, WEST COLUMBIA, SC 29169-2423
(803) 260-5688
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/04/2016
Last updated
12/04/2016
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