Individual
MARY HOULISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPES
Contact information
Practice address
800 E WASHINGTON ST STE K, GREENVILLE, SC 29601-3054
(864) 569-7768
Mailing address
408 SPRING LAKE LOOP, SIMPSONVILLE, SC 29681-7232
(407) 579-3967
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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