NPI | 1336518448 |
---|---|
Other Name | PAMELA K STAFFORD SOLE MBR |
Entity Type | Organization |
Authorized Contact | PAM STAFFORD Owner 803-764-0961 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC LPC 5564) |
Enumeration Date | 2015-09-18 |
Last Update Date | 2015-09-18 |