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Individual

DR. JAMES FURTICK JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
108 STAGE COACH LANE, VILLAGE PARK, ORANGEBURG, SC 29118-2499
(803) 516-0200
(803) 516-8288
Mailing address
108 STAGE COACH LANE, VILLAGE PARK, ORANGEBURG, SC 29118-2499
(803) 516-0200
(803) 516-8288

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4068
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SW1049
SC
Enumeration date
08/07/2006
Last updated
03/24/2023
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