DWIGHT DAVIS BALLARD

COLUMBIA, SC
NPI1992968630
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: SC  8585)
Enumeration Date2008-07-02
Last Update Date2008-07-02
Business Address
-- DWIGHT DAVIS BALLARD MSW
3201 TRENHOLM ROAD
COLUMBIA, SC 29204-3371
Phone number: 803-782-1421
Mailing Address
-- DWIGHT DAVIS BALLARD MSW
1357 GOFFMAN ROAD
EASTOVER, SC 29044-8728
Phone number: 803-782-1421
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