MICHAEL PAUL DESIRE

CONWAY, SC
NPI1952675837
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-02-24
Last Update Date2012-02-24
Business Address
-- MICHAEL PAUL DESIRE
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-4888
Mailing Address
-- MICHAEL PAUL DESIRE
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number:
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