Individual
LEEANN SHOTTS AHDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
268 MARABOU CIR, WEST COLUMBIA, SC 29169-4737
(803) 457-3872
Mailing address
268 MARABOU CIR, WEST COLUMBIA, SC 29169-4737
(803) 457-3872
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11350
SC
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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