Individual
MS. STYLACIA DENISE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 ZIMALCREST DR APT 1606, COLUMBIA, SC 29210-6571
(864) 329-5830
Mailing address
716 ZIMALCREST DR APT 1606, COLUMBIA, SC 29210-6571
(864) 329-5830
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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