Individual
DALICIA HARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
419 BUTTERNUT ST, NORTH, SC 29112-8782
(803) 747-6742
Mailing address
419 BUTTERNUT ST, NORTH, SC 29112-8782
(803) 747-6742
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14176
SC
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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