Individual
KEISHA BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WINDSOR COVE SUITE 304, COLUMBIA, SC 29223-2948
(803) 834-1559
Mailing address
PO BOX 292067, COLUMBIA, SC 29229-0035
(803) 834-1559
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/03/2016
Last updated
04/12/2017
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