Individual
HENRIETTA GANTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 WAPPOO CREEK DR BLDG E, CHARLESTON, SC 29412-2163
(803) 427-3305
Mailing address
125 WAPPOO CREEK DR BLDG E, CHARLESTON, SC 29412-2163
(803) 427-3305
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9271
SC
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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