Individual
EMMA JO PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1341 N CASHUA DR, FLORENCE, SC 29501-6939
(800) 805-6989
Mailing address
1000 LEXINGTON AVE APT B, KINGSTREE, SC 29556-3057
(843) 372-5110
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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