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1386329027
ISABELLA M ORTIZ
MONCKS CORNER, SC
NPI
1386329027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-06-20
Last Update Date
2023-06-20
Business Address
ISABELLA M ORTIZ
403 STONY LANDING RD
MONCKS CORNER, SC 29461-3967
Phone number: 803-761-8282
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Mailing Address
ISABELLA M ORTIZ
403 STONY LANDING RD
MONCKS CORNER, SC 29461-3967
Phone number: 803-761-8282
Copy
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