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Individual

GINGER CHURCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
561 E MAIN ST, SPARTANBURG, SC 29302-1946
(864) 909-0604
(864) 597-0407
Mailing address
561 E MAIN ST, SPARTANBURG, SC 29302-1946
(864) 909-0604
(864) 597-0407

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6247
SC

Other

Enumeration date
06/27/2018
Last updated
06/27/2018
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