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1164478723
SUDIE E BACK
CHARLESTON, SC
NPI
1164478723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: SC 1024)
Enumeration Date
2006-05-25
Last Update Date
2020-10-29
Business Address
Dr. SUDIE E BACK PhD
125 DOUGHTY STREET SUITE 120
CHARLESTON, SC 29425
Phone number: 843-792-5215
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Mailing Address
Dr. SUDIE E BACK PhD
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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