Individual
MIYANNA MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-2935
(803) 751-0557
Mailing address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-2935
(803) 751-0557
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C011689
NC
Other
Enumeration date
08/28/2016
Last updated
10/07/2025
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