Organization
MARY BIEDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY L DAVIS (CREDENTIALING SPECIALISTS)
(912) 484-3879
Entity
Organization
Contact information
Practice address
1321 PROMENADE STREET, BLUFFTON, SC 29909
(843) 540-8788
(912) 238-3520
Mailing address
51 STAR FLOWER DR, BLUFFTON, SC 29909-6151
(843) 540-8788
(912) 238-3520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5358
SC
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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