Individual
JOANN D PRIVETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
106 FAIRHAVEN DR, GOOSE CREEK, SC 29445-8001
(843) 297-2497
Mailing address
106 FAIRHAVEN DR, GOOSE CREEK, SC 29445
(843) 297-2497
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
103-20714
SC
374J00000X
Doula
—
—
Other
Enumeration date
08/28/2012
Last updated
08/12/2013
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