Individual
MARIE ISOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD, LPC
Contact information
Practice address
1107 48TH AVE N STE 310A, MYRTLE BEACH, SC 29577-5443
(843) 580-4357
Mailing address
500 WHALE AVE, MYRTLE BEACH, SC 29588-5497
(843) 685-2191
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5153
SC
Other
Enumeration date
08/06/2010
Last updated
09/06/2016
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