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Individual

MARK PAUL DE VILLIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LPC

Contact information

Practice address
1001 ANNA KNAPP BLVD., MT. PLEASANT, SC 29464
(843) 216-7774
Mailing address
1001 ANNA KNAPP BLVD., MT. PLEASANT, SC 29464
(843) 216-7774

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
765
SC

Other

Enumeration date
03/20/2007
Last updated
07/08/2007
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