Individual
MRS. EDEN NOEL DORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT/I CACP
Contact information
Practice address
2404 WISE RD, CONWAY, SC 29526-5521
(843) 365-8884
Mailing address
2404 WISE RD, CONWAY, SC 29526-5521
(843) 365-8884
(843) 365-6685
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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