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Organization
CHARLESTON FAMILY CENTER, LLC
Active
Organization
CHARLESTON FAMILY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN BERRY (OFFICE MANAGER)
(843) 763-2222
Entity
Organization
Contact information
Practice address
4 CARRIAGE LN, SUITE 100, CHARLESTON, SC 29407-6048
(843) 763-2222
(843) 766-5705
Mailing address
4 CARRIAGE LN, SUITE 100, CHARLESTON, SC 29407-6048
(843) 763-2222
(843) 766-5705
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
6767
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG5930
RR MEDICARE
SC
05
—
GP3347
—
SC
Enumeration date
04/04/2006
Last updated
02/23/2008
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