Individual
CHRISTINA NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
822 DILLS BLUFF RD, CHARLESTON, SC 29412-4710
(843) 469-5599
Mailing address
822 DILLS BLUFF RD, CHARLESTON, SC 29412-4710
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588615918
—
SC
Enumeration date
04/26/2013
Last updated
04/26/2013
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