STACIE MOULTRIE

COLUMBIA, SC
NPI1528785607
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2022-10-20
Last Update Date2022-10-20
Business Address
STACIE MOULTRIE
1850 PINEVIEW DR
COLUMBIA, SC 29209-5085
Phone number: 803-783-0303
Mailing Address
STACIE MOULTRIE
PO BOX 4261
COLUMBIA, SC 29240-4261
Phone number: 803-477-4731
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