Individual
MS. LEONTYNE HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
114 MELSTONE DR, HOPKINS, SC 29061-8464
(803) 776-3965
Mailing address
114 MELSTONE DR, HOPKINS, SC 29061-8464
(803) 776-3965
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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