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1275162042
KATHI A PEDDICORD
SUMMERVILLE, SC
NPI
1275162042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: SC 7394)
Enumeration Date
2020-04-03
Last Update Date
2020-04-03
Business Address
KATHI A PEDDICORD MA, LPC
75 SPRINGVIEW LN
SUMMERVILLE, SC 29485-8154
Phone number: 843-813-9650
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Mailing Address
KATHI A PEDDICORD MA, LPC
116 OAKBLUFF RD
SUMMERVILLE, SC 29485-8449
Phone number: 843-813-9650
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