Provider Information for 1235180654
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STEPHANIE F. GREENE MSW, LISW-CP
Sex: Female
NPI: 1235180654
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
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NPI | 1235180654 | ||||||||
Enumeration Date | 2006-05-12 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 4010 YALE AVE COLUMBIA, SC 29205-3554 United States Phone: 803-730-3913 | Fax:803-738-0470 | ||||||||
Primary Practice Address | 2999 SUNSET BLVD SUITE 100 WEST COLUMBIA, SC 29169-3496 United States Phone: 803-939-9699 | Fax:803-939-9086 | ||||||||
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