Organization
CAROLINA PEDIATRIC COUNSELING AND EDUCATIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY GOODWIN LPES (OWNER)
(843) 468-1850
Entity
Organization
Contact information
Practice address
3338 W PALMETTO ST, FLORENCE, SC 29501-5942
(843) 468-1850
(843) 407-4265
Mailing address
3338 W PALMETTO ST, FLORENCE, SC 29501-5942
(843) 468-1850
(843) 407-4265
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4580
SC
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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