Mustard, Harry Stoll

Mustard, Harry Stoll is an individual health care provider with primary practice located at 3050 Leaphart Rd , West Columbia SC 29169-3000. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mustard, Harry Stoll can be contacted via phone (803) 791-0495.

Contact Information

Primary practice address
3050 Leaphart Rd West Columbia SC 29169-3000
Phone: (803) 791-0495
Fax: (803) 791-1958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5557 South Carolina

Profile Details

NPI number 1851689996
LBN Legal business name Mustard, Harry Stoll
Credentials MSW, LISW-CP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2011
Last updated Jul 11th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851689996 NPPES
Other 12211634 CAQH

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