Individual
MS. SELENA MARIA BROWN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
INTERN
Contact information
Practice address
1135 CARTER ST, COLUMBIA, SC 29204-2811
(803) 786-1183
Mailing address
1135 CARTER ST, COLUMBIA, SC 29204-2811
(803) 786-1183
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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