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Individual

DEBRA C REILLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
403 STONY LANDING RD, MONCKS CORNER, SC 29461-3967
(843) 761-8282
(843) 761-8282
Mailing address
403 STONY LANDING RD, MONCKS CORNER, SC 29461-3967
(843) 761-8282
(843) 761-8282

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RN 204927

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
435201
SC
Enumeration date
10/07/2014
Last updated
10/07/2014
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