Individual
MALLORY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2711 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 726-9435
Mailing address
109 BEECHWOOD LN, IRMO, SC 29063-9409
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
15246
SC
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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