Organization
DEPARTMENT OF JUVENILE JUSTICE
Active
Other names
Department of Juvenile Justice
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIAN OGLESBY MA (SOCIAL WORKER)
(803) 896-5267
Entity
Organization
Contact information
Practice address
4900 BROAD RIVER RD, COLUMBIA, SC 29212-3531
(803) 896-5267
Mailing address
4900 BROAD RIVER RD, COLUMBIA, SC 29212-3531
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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