Individual
DORTERRA LEGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 CROSS HOLW, GREENVILLE, SC 29607-4349
(864) 906-4803
Mailing address
429 N MAIN ST, GREENVILLE, SC 29601-2076
(864) 906-4803
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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