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Individual

DANIELLE WATHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3321 CAMDEN HWY, DALZELL, SC 29040-8995
(302) 747-8403
Mailing address
3321 CAMDEN HWY, DALZELL, SC 29040-8995

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5198
SC

Other

Enumeration date
06/09/2022
Last updated
06/09/2022
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