Individual
MRS. ALLYSON LACEY MAGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC--A, NCC
Contact information
Practice address
65 GADSDEN STREET, CHARLESTON, SC 29401
(704) 604-4579
Mailing address
65 GADSDEN STREET, CHARLESTON, SC 29401
(704) 604-4579
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
008311
GA
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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