Individual
DR. CHACY AGNELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
11 N IRVINE ST STE 6, GREENVILLE, SC 29601-4902
(864) 671-1663
Mailing address
107 STONE AVE APT I, EASLEY, SC 29640-1353
(805) 712-1508
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1639
SC
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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