Individual
MS. DOMINICA NICOLE STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
241 E MAIN ST, BENNETTSVILLE, SC 29512-3157
(843) 456-5183
Mailing address
PO BOX 1852, SUITE 1, BENNETTSVILLE, SC 29512-1852
(843) 456-5183
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5328
SC
Other
Enumeration date
01/09/2010
Last updated
03/13/2017
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