Individual
TERESA HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
719 N MAIN ST, MARION, SC 29571-2517
(843) 464-3760
Mailing address
719 N MAIN ST, MARION, SC 29571-2517
(843) 464-3760
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD3410
—
SC
Enumeration date
05/26/2015
Last updated
05/27/2015
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