Individual
MRS. JESSICA LOVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1332 PICKENS ST, COLUMBIA, SC 29201-3430
(803) 771-4160
(803) 771-4367
Mailing address
1228 HARDEN ST, COLUMBIA, SC 29204-1800
(803) 733-5969
(803) 753-5591
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8571
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LW1008
—
SC
Enumeration date
10/23/2012
Last updated
11/01/2013
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