Individual
CORRIE LEE FARRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3876 RENEE DR UNIT C, MYRTLE BEACH, SC 29579-4108
(843) 504-8346
Mailing address
3876 RENEE DR UNIT C, MYRTLE BEACH, SC 29579-4108
(843) 504-8346
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
03/04/2024
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