Individual
MS. BONNIE EGLESTON HOLSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
3204 MILLWOOD AVE, COLUMBIA, SC 29205-1827
(803) 960-4872
(803) 254-4406
Mailing address
3204 MILLWOOD AVE, COLUMBIA, SC 29205-1827
(803) 960-4872
(803) 254-4406
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1410
SC
Other
Enumeration date
04/17/2009
Last updated
06/21/2011
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