Individual
MOHAMED ISMAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1175 N GUIGNARD DR, SUMTER, SC 29150-1519
(803) 934-4395
Mailing address
215 SPENCER PL APT 311, CAYCE, SC 29033-3980
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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