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Individual

MS. JESSICA CLAIRE MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2715 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 898-1453
(803) 898-4855
Mailing address
920 WOODROW ST, #4, COLUMBIA, SC 29205-1684
(864) 979-6100

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
11/28/2006
Last updated
07/08/2007
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