Individual
BRENTLEY SUE ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 FREELAND WAY, MONCKS CORNER, SC 29461-8868
(757) 372-1731
Mailing address
303 FREELAND WAY, MONCKS CORNER, SC 29461-8868
(757) 372-1731
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10280
SC
Other
Enumeration date
02/03/2025
Last updated
01/02/2026
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