Individual
TIFFANY ANTIONETTE MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 SC-41 ALT, MARION, SC 29571
(843) 423-8345
Mailing address
719 N MAIN ST, MARION, SC 29571-2517
(843) 423-1811
(843) 423-8328
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
SC
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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