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Individual

MS. JAN MACLEAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
754 MIRIAM LN, RIDGEVILLE, SC 29472-7030
(843) 412-5277
Mailing address
754 MIRIAM LN, RIDGEVILLE, SC 29472-7030
(843) 412-5277

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4698
SC

Other

Enumeration date
04/15/2006
Last updated
11/04/2008
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