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Organization
GAGNE BEHAVIORAL HEALTH CARE PA
Active
Organization
GAGNE BEHAVIORAL HEALTH CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI P GAGNE (APRN)
(704) 438-0687
Entity
Organization
Contact information
Practice address
331 E MAIN ST STE 200, ROCK HILL, SC 29730-5371
(704) 438-0687
Mailing address
331 E MAIN ST STE 200, ROCK HILL, SC 29730-5371
(704) 438-0687
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
20033
SC
Other
Enumeration date
02/20/2016
Last updated
11/22/2021
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