Individual
MARIAH ELAINE CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LISW-CP
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(815) 721-9466
Mailing address
949 APPLE GROVE DR, FLORENCE, SC 29501-8196
(815) 721-9466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1199
WY
1041C0700X
Clinical Social Worker
Primary
13575
SC
1041C0700X
Clinical Social Worker
2019022942
MO
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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