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Individual

LANDRIE H. ETHREDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
1 CARRIAGE LANE, BUILDING B, SUITE 102, CHARLESTON, SC 29407
(843) 410-9046
Mailing address
1 CARRIAGE LANE, BUILDING B, SUITE 102, CHARLESTON, SC 29407
(843) 410-9046

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/13/2019
Last updated
09/13/2019
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