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Individual

MR. DAVID EDWARD MICHAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPC, LPCS

Contact information

Practice address
605 HALLMAN WAGON RD, LEESVILLE, SC 29070-8987
(803) 528-8939
Mailing address
PO BOX 284, GILBERT, SC 29054-0284
(803) 528-8939

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4355
SC

Other

Enumeration date
06/09/2006
Last updated
05/18/2023
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