Individual
ALYSSA ONWODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 BLUE OAK DR, MONCKS CORNER, SC 29461-5060
(843) 809-0392
Mailing address
305 BLUE OAK DR, MONCKS CORNER, SC 29461-5060
(843) 809-0392
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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