Individual
MS. TANOVA CORNISE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
96 WISTERIA ROAD, GOOSE CREEK, SC 29445
(843) 797-7871
(843) 797-8638
Mailing address
96 WISTERIA RD, GOOSE CREEK, SC 29445-3495
(843) 797-7871
(843) 797-8638
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
SC
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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