Individual
MRS. STEPHANIE DIANE THOMPSON-OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AADC
Contact information
Practice address
150 N DARGAN ST STE 107, FLORENCE, SC 29506-2590
(843) 618-4658
Mailing address
463 CHATHAM PL, FLORENCE, SC 29501-7525
(803) 840-6703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AADC-2119
SC
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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