STACY PASSAGE SHULL

COLUMBIA, SC
NPI1497001531
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: SC  9969)
Enumeration Date2012-07-26
Last Update Date2018-10-17
Business Address
STACY PASSAGE SHULL LISW-CP
6439 GARNERS FERRY RD DORN VAMC
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
Mailing Address
STACY PASSAGE SHULL LISW-CP
6439 GARNERS FERRY RD
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
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