Individual
KADESHIA MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1451 RETAIL ROW, HARTSVILLE, SC 29550-4258
(843) 383-4848
(843) 383-4828
Mailing address
1451 RETAIL ROW, HARTSVILLE, SC 29550-4258
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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