Individual
MS. MARY ALICE OXENDINE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
525 N LAFAYETTE DR., SWCMHC/IPS CAROLINA PLACE, SUMTER, SC 29151-1946
(803) 775-6293
(803) 775-7593
Mailing address
215 N MAGNOLIA ST, SWCMHC, SUMTER, SC 29151-1946
(803) 775-9364
(803) 773-6615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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