Individual
SUSAN ELIZABETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
202 MINE STREET, MCCORMICK, SC 29835
(864) 465-2412
Mailing address
202 MINE STREET, P.O.BOX 1556, MCCORMICK, SC 29835
(864) 465-2412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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