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Individual

MRS. WENDE B CONRAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., LPC

Contact information

Practice address
1 CLEVELAND ST STE 100, GREENVILLE, SC 29601-4710
(864) 660-9407
Mailing address
312 WATER MILL RD, GREER, SC 29650-3627
(864) 517-0604

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2666
SC
103TC0700X
Clinical Psychologist
1787
NC

Other

Enumeration date
07/11/2015
Last updated
07/11/2015
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