Individual
LIBBEY SUSAN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 E MAIN ST, SUITE300, ROCK HILL, SC 29730-4571
(803) 328-9600
(803) 329-7141
Mailing address
166 DOTSON ST, ROCK HILL, SC 29732-2334
(803) 327-2012
(803) 329-4741
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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