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1871780213
ALYSSA REVUELTA
MT PLEASANT, SC
NPI
1871780213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist Clinical Child & Adolescent
(Licence: SC 1184)
Enumeration Date
2007-10-01
Last Update Date
2012-11-13
Business Address
ALYSSA REVUELTA PH.D.
10 RESOLUTE LN SUITE 207
MT PLEASANT, SC 29464-6608
Phone number: 843-810-9682
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Mailing Address
ALYSSA REVUELTA PH.D.
10 RESOLUTE LN SUITE 207
MT PLEASANT, SC 29464-6608
Phone number: 843-810-9682
Copy
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