Individual
MRS. HARRIET C SAMPLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
229 JOHNSTON ST, ROCK HILL, SC 29730-3579
(803) 327-9449
(803) 328-1866
Mailing address
229 JOHNSTON ST, ROCK HILL, SC 29730-3579
(803) 327-9449
(803) 328-1866
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3937
SC
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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