LISA MUSTARD

COLUMBIA, SC
NPI1740496397
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: SC  4750)
Enumeration Date2007-05-14
Last Update Date2007-07-08
Business Address
-- LISA MUSTARD LMFT-i
2016 ASSEMBLY ST
COLUMBIA, SC 29201-2142
Phone number: 803-665-6399
Mailing Address
-- LISA MUSTARD LMFT-i
509 S BONHAM RD
COLUMBIA, SC 29205-4010
Phone number: 803-665-6399
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