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Individual

ELGIN TYRONE WOODBERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS

Contact information

Practice address
125 E CHEVES ST, FLORENCE, SC 29506-2526
(843) 317-4073
(843) 317-4080
Mailing address
125 E CHEVES ST, FLORENCE, SC 29506-2526
(843) 317-4073
(843) 317-4080

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/15/2019
Last updated
07/15/2019
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