Individual
CAROLE LEIGH CAMPBELL SWIECICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2834 TRADEWIND DR, MOUNT PLEASANT, SC 29466-7983
(843) 725-8175
Mailing address
1240 WINNOWING WAY UNIT 102, MOUNT PLEASANT, SC 29466-7531
(843) 874-8526
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810003901
VA
103TC0700X
Clinical Psychologist
Primary
1327
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810003901
LICENSE
VA
Enumeration date
12/31/2007
Last updated
12/02/2021
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