Individual
MS. CAROLYN DOLES MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., ED.S.
Contact information
Practice address
75 CALHOUN ST, CHARLESTON, SC 29401-3538
(843) 402-7818
Mailing address
75 CALHOUN ST, CHARLESTON, SC 29401-3538
(843) 402-7818
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558615918
—
SC
Enumeration date
11/20/2014
Last updated
11/20/2014
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