DUTCH FORK PSYCHOLOGICAL SERVICES

IRMO, SC
NPI1750308409
Entity TypeOrganization
Authorized ContactWILLIAM E. HAXTON
Owner
803-407-7099
Organization Subpart ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: SC  654)
Enumeration Date2006-07-17
Last Update Date2015-04-27
Business Address
DUTCH FORK PSYCHOLOGICAL SERVICES
7313 COLLEGE ST
IRMO, SC 29063-2902
Phone number: 803-407-7099
Mailing Address
DUTCH FORK PSYCHOLOGICAL SERVICES
7313 COLLEGE ST
IRMO, SC 29063-2902
Phone number: 803-407-7099
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