Individual
MR. CHARMUS BENNETT-WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2105 COMMERCE DR, CAYCE, SC 29033-1524
(803) 796-0353
Mailing address
2105 COMMERCE DR, CAYCE, SC 29033-1524
(803) 796-0353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
10/04/2023
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