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Individual

MRS. DENISE MARIE GALLANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPES

Contact information

Practice address
205 KING ST, LATTA, SC 29565-1401
(843) 752-7101
(843) 752-2081
Mailing address
205 KING ST, LATTA, SC 29565-1401
(843) 752-7101
(843) 752-2081

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4598
SC

Other

Enumeration date
02/08/2013
Last updated
02/08/2013
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