Individual
MRS. MARY ALICE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPES, LPC
Contact information
Practice address
513 WOODLAND DRIVE, HARTSVILLE, SC 29550
(843) 858-3853
Mailing address
513 WOODLAND DRIVE, HARTSVILLE, SC 29550
(843) 858-3853
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2839
SC
103T00000X
Psychologist
Primary
4567
SC
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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