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Individual

MRS. DONETTA PALMYRA POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW-CP

Contact information

Practice address
1620 LADY ST, SUSITE B, COLUMBIA, SC 29201-3482
(803) 451-7600
(803) 451-7604
Mailing address
1620 LADY ST, SUITE B, COLUMBIA, SC 29201-3482
(803) 451-7600
(803) 451-7604

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5020
SC

Other

Enumeration date
05/06/2006
Last updated
06/25/2021
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