Individual
DR. JEFF MARCINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-I, PSY.D
Contact information
Practice address
474 WANDO PARK BLVD STE 104, MT PLEASANT, SC 29464-7933
(843) 330-2336
Mailing address
474 WANDO PARK BLVD SUITE #104, MT.PLEASANT, SC 29464
(843) 330-2336
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5125
SC
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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