Individual
MARY RUTH BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10689 OCEAN HIGHWAY, PAWLEYS ISLAND, SC 29585
(843) 508-9604
Mailing address
390 LANTANA CIR, GEORGETOWN, SC 29440-7298
(843) 991-1028
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC7337
SC
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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