Individual
DR. MARY RUTLEDGE FAUCETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
117 E MAIN ST, MONCKS CORNER, SC 29461-3764
(843) 899-4949
(843) 899-7224
Mailing address
117 EAST MAIN STREET, MONCKS CORNER, SC 29461-8354
(843) 899-4949
(843) 886-3350
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
811
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSO353
—
SC
Enumeration date
09/01/2006
Last updated
09/10/2008
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