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1215446687
MICHELLE MARIE IMLAY
CHARLESTON, SC
NPI
1215446687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 0024173402)
Enumeration Date
2017-09-28
Last Update Date
2018-03-17
Business Address
MICHELLE MARIE IMLAY PMHNP-BC
109 BEE ST
CHARLESTON, SC 29401-5703
Phone number: 843-577-5011
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Mailing Address
MICHELLE MARIE IMLAY PMHNP-BC
109 BEE ST
CHARLESTON, SC 29401-5703
Phone number:
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