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Individual

PATRICIA DIANE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPCA

Contact information

Practice address
6715 STATE PARK RD, TRAVELERS REST, SC 29690-1831
(864) 363-9740
Mailing address
6715 STATE PARK RD, TRAVELERS REST, SC 29690-1831
(864) 363-9740

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
7129
SC
101YP2500X
Professional Counselor
Primary
8384
SC

Other

Enumeration date
03/04/2020
Last updated
08/14/2022
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