Individual
DWIGHT DAVIS BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3201 TRENHOLM ROAD, COLUMBIA, SC 29204-3371
(803) 782-1421
Mailing address
1357 GOFFMAN ROAD, EASTOVER, SC 29044-8728
(803) 782-1421
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8585
SC
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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