Individual
DR. LEO JOHN DRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
115 ATRIUM WAY STE 221, COLUMBIA, SC 29223-6383
(803) 699-8887
Mailing address
215 RAVENEL ST, COLUMBIA, SC 29205-2762
(610) 955-5823
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1538
SC
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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