Individual
OUIDA K PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1354 PINELAND DR., FLORENCE, SC 29505
(843) 398-0915
(843) 393-9423
Mailing address
PO BOX 90, DARLINGTON, SC 29540-0090
(843) 398-0915
(843) 393-9423
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC 1516
SC
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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