GRACE WIELICKI COUCH

SUMTER, SC
NPI1821565334
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  22307)
Enumeration Date2018-11-01
Last Update Date2018-11-01
Business Address
GRACE WIELICKI COUCH FNP-C
325 BROAD ST
SUMTER, SC 29150-4167
Phone number: 803-773-5227
Mailing Address
GRACE WIELICKI COUCH FNP-C
101 OLD GEORGETOWN RD
MANNING, SC 29102-2721
Phone number: 803-460-5151
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