Provider First Line Business Practice Location Address:
1119 LITTLE STREET
Provider Second Line Business Practice Location Address:
SALLY ROBINSON PHD, LISW-CP
Provider Business Practice Location Address City Name:
CAMDEN
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29020-3612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-427-1182
Provider Business Practice Location Address Fax Number:
803-432-4706
Provider Enumeration Date:
08/14/2006