EDWARD DELA FUENTE

BEAUFORT, SC
NPI1376029777
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-07-18
Last Update Date2018-07-18
Business Address
EDWARD DELA FUENTE LCDC-I
COASTAL EMPIRE MENTAL HEALTH CENTER 1050 RIBAUT ROAD
BEAUFORT, SC 29902
Phone number: 843-524-8899
Mailing Address
EDWARD DELA FUENTE LCDC-I
2414 BULL ST
COLUMBIA, SC 29201-1906
Phone number: 803-898-2461
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