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Individual

ANNE E MIRACLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
100 CENTRAL AVE STE 203A, GOOSE CREEK, SC 29445-2979
(843) 892-9414
(877) 780-1103
Mailing address
100-A CENTRAL AVE SUITE 203, GOOSE CREEK, SC 29445
(843) 892-9414
(877) 780-1103

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5401
SC

Other

Enumeration date
05/13/2019
Last updated
06/11/2019
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