Individual
KATRINIA DENISE MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 COMMERCE ST, MANNING, SC 29102-2638
(803) 435-2124
Mailing address
601 W OAKLAND AVE, SUMTER, SC 29150-5643
(703) 283-1662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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