Individual
MARA CALDERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1662 INGRAM RD, CHARLESTON, SC 29407
(843) 402-9115
(843) 402-5407
Mailing address
1662 INGRAM RD, CHARLESTON, SC 29407
(843) 402-9115
(843) 402-5407
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
450
SC
Other
Enumeration date
05/11/2007
Last updated
02/16/2010
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