Individual
MR. CLYDE PETER MORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-CP
Contact information
Practice address
2015 MARION ST,, COLUMBIA, SC 29240-4440
(803) 898-0123
(803) 253-4090
Mailing address
2823 BLOSSOM ST, COLUMBIA, SC 29205-2503
(803) 799-9827
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1611
SC
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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