Individual
QUAVON WHITFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3150 EXPEDITION DR, DALZELL, SC 29040-8376
(803) 225-0853
Mailing address
3150 EXPEDITION DR, DALZELL, SC 29040-8376
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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