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Individual

GLADYS C PEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1104 LOMBARDY ST, MARION, SC 29571-2005
(843) 431-1100
(843) 431-1103
Mailing address
125 E CHEVES ST, FLORENCE, SC 29506-2526
(843) 317-4089
(843) 317-4096

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3337
MEDICARE
SC
05
376241
SC
Enumeration date
03/04/2009
Last updated
03/04/2009
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