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Individual

STEPHANIE G DUTCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
10 PATEWOOD DR STE 150, GREENVILLE, SC 29615-5612
(864) 454-5612
(864) 454-5121
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
75918R
SC
163WP0808X
Psychiatric/Mental Health Registered Nurse
75918R
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
21192
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP4809
SC
Enumeration date
07/26/2017
Last updated
02/25/2026
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