Individual
BEAUNNIA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 N LAFAYETTE DR, SUMTER, SC 29150-4347
(803) 436-2462
Mailing address
525 N LAFAYETTE DR, SUMTER, SC 29150-4347
(803) 436-2462
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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