Individual
AMY DUREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2012 WEST HIGHWAY, FORT MILLS, SC 29732
(803) 337-3010
Mailing address
2012 WEST HIIGHWAY 160, FORT MILLS, SC 29732
(803) 673-9614
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6257
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1621
—
SC
Enumeration date
04/22/2015
Last updated
03/07/2017
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