Individual
MS. PATRICIA DAUGHTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED. S.
Contact information
Practice address
1776 WILLIAM KENNERTY DRIVE, WEST ASHLEY MIDDLE SCHOOL, CHARLESTON, SC 29407
(843) 852-6536
Mailing address
607 FAIR SPRING DR, CHARLESTON, SC 29414-7150
(843) 814-5917
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588615918
—
SC
Enumeration date
04/24/2013
Last updated
04/24/2013
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