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Individual

ALICIA NICOLE CALDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CAC1-P

Contact information

Practice address
1547 PARKWAY STE#100, GREENWOOD, SC 29646
(864) 229-7120
Mailing address
1547 PARKWAY STE#100, GREENWOOD, SC 29646
(864) 229-7120

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
421504
SC
Enumeration date
01/22/2013
Last updated
02/22/2017
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