Individual
JENNIFER BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3937 SUNSET BLVD STE B, WEST COLUMBIA, SC 29169-2423
(803) 900-4890
Mailing address
2323 LEE ST, COLUMBIA, SC 29205-1711
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1508
SC
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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