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CONWAY, SC
NPI1548638471
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  LPC014422)
Enumeration Date2015-09-09
Last Update Date2026-08-18
Business Address
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164 WACCAMAW MEDICAL PARK
CONWAY, SC 29526-8903
Phone number: 843-347-4888
Mailing Address
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164 WACCAMAW MEDICAL PARK
CONWAY, SC 29526-8903
Phone number:
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