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1942300975
PHYLLIS JORDAN STALVEY
CONWAY, SC
NPI
1942300975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: SC 1258)
Enumeration Date
2006-09-22
Last Update Date
2007-07-08
Business Address
Ms. PHYLLIS JORDAN STALVEY lpc
400 LAUREL ST
CONWAY, SC 29526-4317
Phone number: 843-333-2128
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Mailing Address
Ms. PHYLLIS JORDAN STALVEY lpc
4450 TRALEE PL
MYRTLE BEACH, SC 29579-6816
Phone number: 843-333-2128
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