Individual
MRS. ADRIANE MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2155 N PARK LN STE 108, NORTH CHARLESTON, SC 29406-9261
(843) 732-4325
Mailing address
101 SUN VALLEY CT, SUMMERVILLE, SC 29483-8348
(843) 732-4325
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9656
SC
Other
Enumeration date
12/21/2016
Last updated
07/05/2024
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