Individual
DR. STEPHANIE MARIE STANSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTTS, NCTTP
Contact information
Practice address
86 JONATHAN LUCAS ST STE 117, CHARLESTON, SC 29425-8900
(843) 792-6767
Mailing address
86 JONATHAN LUCAS ST STE 117, CHARLESTON, SC 29425-8900
(843) 792-6767
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
NT0576
SC
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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