Individual
MS. MARY BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 LAUREL ST, COLUMBIA, SC 29201-2624
(803) 765-0700
Mailing address
1709 LAUREL ST, COLUMBIA, SC 29201-2624
(803) 765-0700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6373
SC
Other
Enumeration date
09/28/2016
Last updated
07/05/2022
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