Individual
BRANDI T DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPES
Contact information
Practice address
2011 2ND LOOP RD STE A, FLORENCE, SC 29501-6187
(843) 468-1850
Mailing address
2011 2ND LOOP RD STE A, FLORENCE, SC 29501-6187
(843) 468-1850
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4626
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4626
LICENSE NUMBER
SC
Enumeration date
10/04/2018
Last updated
10/04/2018
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