Individual
VIRGINIA M FORBES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
465 DANDELION LN, MYRTLE BEACH, SC 29579-4128
(843) 251-4565
Mailing address
465 DANDELION LN, MYRTLE BEACH, SC 29579-4128
(843) 251-4564
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
SC
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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