Individual
SUSAN DALE BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 FABER PLACE DR, NORTH CHARLESTON, SC 29405-8532
(252) 455-9725
Mailing address
115 COOKE ST, DANIEL ISLAND, SC 29492-7545
(252) 455-9725
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
09/23/2020
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