Individual
ADDISON SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
253 COMING ST APT A, CHARLESTON, SC 29403-6483
(704) 728-3304
Mailing address
1985 RIVIERA DR, STE 103 PMB 245, MOUNT PLEASANT, SC 29464
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
9171
SC
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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