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Individual

MS. GLENDA GAIL BUMGARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.DIV., LMFT

Contact information

Practice address
84 GROCE RD, LYMAN, SC 29365-1761
(864) 439-7760
Mailing address
84 GROCE RD, LYMAN, SC 29365-1761
(864) 439-7760

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
1164
NC
106H00000X
Marriage & Family Therapist
Primary
4480
SC

Other

Enumeration date
12/30/2008
Last updated
12/30/2008
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