Individual
MS. WANDA RENEE BOSTICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1912 DUKE ST, BEAUFORT, SC 29902-4404
(843) 368-2700
Mailing address
PO BOX 1841, BEAUFORT, SC 29901-1841
(843) 368-2700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4573
SC
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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