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Individual

DR. LATOYA BERNICE GATHERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.D

Contact information

Practice address
1632 9TH AVE, CONWAY, SC 29527-4848
(843) 485-5596
Mailing address
1908A HAWKINS ST, GEORGETOWN, SC 29440-3078
(843) 485-5596
(843) 546-0257

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103TB0200X
Cognitive & Behavioral Psychologist
Primary

Other

Enumeration date
09/25/2010
Last updated
08/29/2011
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