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Individual

MRS. TIFFANY DAWN SOLTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
1035 CHERAW HWY, BENNETTSVILLE, SC 29512
(843) 544-4060
(206) 302-2210
Mailing address
PO BOX 918, BENNETTSVILLE, SC 29512
(843) 544-4060
(206) 901-2010

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00004297
101YM0800X
Mental Health Counselor
CG60204032
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
405127
SC
Enumeration date
07/28/2011
Last updated
11/01/2022
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