Individual
QUINELL FEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4856 MIXSON AVE, N CHARLESTON, SC 29405-4502
(843) 608-9403
Mailing address
4856 MIXSON AVE, N CHARLESTON, SC 29405-4502
(843) 608-9403
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8466
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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