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Organization
DANIELS DISCOVERY DYNAMICS, LLC
Active
Organization
DANIELS DISCOVERY DYNAMICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PREZILLIC DANIELS MA, LPC, RPT (OWNER/COUNSELOR)
(843) 661-6030
Entity
Organization
Contact information
Practice address
1803 CHEROKEE RD, FLORENCE, SC 29501-4184
(843) 661-6030
(843) 679-2633
Mailing address
1803 CHEROKEE RD, FLORENCE, SC 29501-4184
(843) 661-6030
(843) 679-2633
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
5468
SC
305R00000X
Preferred Provider Organization
5468
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1260
—
SC
Enumeration date
06/26/2014
Last updated
06/26/2014
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