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Individual

MEREDITH JOLLY LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LMSW

Contact information

Practice address
2435 FOREST DR, COLUMBIA, SC 29204-2026
(803) 331-6271
Mailing address
2435 FOREST DR, COLUMBIA, SC 29204-2026
(803) 331-6271

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8529
SC

Other

Enumeration date
12/12/2011
Last updated
05/19/2015
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