PHYLLIS JORDAN STALVEY

CONWAY, SC
NPI1942300975
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: SC  1258)
Enumeration Date2006-09-22
Last Update Date2007-07-08
Business Address
Ms. PHYLLIS JORDAN STALVEY lpc
400 LAUREL ST
CONWAY, SC 29526-4317
Phone number: 843-333-2128
Mailing Address
Ms. PHYLLIS JORDAN STALVEY lpc
4450 TRALEE PL
MYRTLE BEACH, SC 29579-6816
Phone number: 843-333-2128
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