Individual
MRS. EFSTASIA HAMBERIS BAKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
525 S DARGAN ST, FLORENCE, SC 29506-2549
(843) 407-5419
Mailing address
2239 BLASS DR, FLORENCE, SC 29505-6479
(843) 601-1186
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6443
SC
Other
Enumeration date
10/12/2016
Last updated
11/07/2016
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