Individual
VICTORIA CASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 DAWSON POND CT, BLYTHEWOOD, SC 29016-8296
(330) 205-7197
Mailing address
2 DAWSON POND CT, BLYTHEWOOD, SC 29016-8296
(330) 205-7197
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1901798
OH
Other
Enumeration date
04/06/2019
Last updated
04/06/2019
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