| Story Of Growth Llc | |
|
801 Gervais St Ste 2b Columbia SC 29201-3125 | |
| (803) 888-6714 | |
| Not Available |
| Full Name | Story Of Growth Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 801 Gervais St Ste 2b, Columbia, South Carolina |
| Authorized Official Name and Position | Laura Nicklin (OWNER) |
| Authorized Official Contact | 8033170780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Story Of Growth Llc 801 Gervais St Ste 2b Columbia SC 29201-3125 Ph: () - | Story Of Growth Llc 801 Gervais St Ste 2b Columbia SC 29201-3125 Ph: (803) 888-6714 |
| NPI Number | 1457105793 |
|---|---|
| Provider Enumeration Date | 04/15/2024 |
| Last Update Date | 04/15/2024 |
| Certification Date | 04/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457105793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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