STACIA BENTON

COLUMBIA, SC
NPI1235769977
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-01-22
Last Update Date2020-01-22
Business Address
STACIA BENTON
2715 COLONIAL DR STE 200A
COLUMBIA, SC 29203-6818
Phone number: 803-898-0934
Mailing Address
STACIA BENTON
7762 WALNUT ST
SHAW AFB, SC 29152-1516
Phone number:
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