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MS. PHYLLIS JORDAN STALVEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
400 LAUREL ST, CONWAY, SC 29526-4317
(843) 333-2128
(866) 803-6930
Mailing address
4450 TRALEE PL, MYRTLE BEACH, SC 29579-6816
(843) 333-2128
(866) 803-6930

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1258
SC

Other

Enumeration date
09/22/2006
Last updated
07/08/2007
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