NPI 1003371956
Bodequia Simon, LMSW
Practice location
- Address
- 108 Palmetto Park Blvd STE D, Lexington, SC 29072-7969
- Phone
- (803) 996-1500
- Mailing address
- 500 Harbison Blvd APT 1315, Columbia, SC 29212-1726
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1003371956
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Feb 2019
- Record last updated
- 5 Feb 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.