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1194372656
SUSAN COLLINS
COLUMBIA, SC
NPI
1194372656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: SC 1399)
Enumeration Date
2019-08-20
Last Update Date
2019-08-20
Business Address
SUSAN COLLINS PsyD
1409 DEVINE ST
COLUMBIA, SC 29208-3902
Phone number: 803-777-5223
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Mailing Address
SUSAN COLLINS PsyD
PO BOX 620
GILBERT, SC 29054-0620
Phone number: 803-530-5093
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