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Individual

CHANCE THOMAS MALKASIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
110 YE OLDE KINGS HWY, NORTH MYRTLE BEACH, SC 29582-4384
(843) 663-0770
Mailing address
1012 DIZZY CT, SURFSIDE BEACH, SC 29575-8646
(774) 454-0360

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7614
SC

Other

Enumeration date
11/22/2021
Last updated
11/22/2021
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