Individual
ALICIA PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
509 N MAIN ST, MULLINS, SC 29574-2009
(424) 364-6467
Mailing address
509 N MAIN ST, MULLINS, SC 29574-2009
(424) 364-6467
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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