Cooper-lewter Consulting Llc | |
120 Wildewood Park Dr Suite A Columbia SC 29223-4313 | |
(803) 462-7181 | |
(803) 462-7181 |
Full Name | Cooper-lewter Consulting Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 120 Wildewood Park Dr, Columbia, South Carolina |
Authorized Official Name and Position | Nicholas Cooper-lewter (PRESIDENT/PROVIDER) |
Authorized Official Contact | 8034627181 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cooper-lewter Consulting Llc 120 Wildwod Park Dr Suite A Columbia SC 29223-4313 Ph: (803) 462-7181 | Cooper-lewter Consulting Llc 120 Wildewood Park Dr Suite A Columbia SC 29223-4313 Ph: (803) 462-7181 |
NPI Number | 1730346057 |
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Provider Enumeration Date | 05/22/2008 |
Last Update Date | 04/24/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730346057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 006957 (South Carolina) | Primary |
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