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Individual

DANE HILTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
104 N DANIEL MORGAN AVE STE 107, SPARTANBURG, SC 29306-2363
(864) 216-8251
Mailing address
104 N DANIEL MORGAN AVE STE 107, SPARTANBURG, SC 29306-2363
(864) 216-8251

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810006095
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0810006095
LICENSE NUMBER
VA
01
1847
LICENSE NUMBER
SC
Enumeration date
04/15/2017
Last updated
03/04/2024
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