Individual
MADELINE-ELAINE LUCILLE SHEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3997 MEETING ST, LORIS, SC 29569-3053
(843) 945-1452
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004580A
IN
Other
Enumeration date
06/26/2023
Last updated
11/18/2025
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