Individual
MELISSA NICKENS MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 FOSSIL LN, SUMTER, SC 29153-9519
(803) 316-3880
Mailing address
2625 FOSSIL LN, SUMTER, SC 29153-9519
(803) 316-3880
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
03/31/2021
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