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Individual

DR. SUSAN MARIA LORETO WEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
295 SEVEN FARMS DR, SUITE 202, DANIEL ISLAND, SC 29492-8001
(843) 278-5402
(843) 278-5403
Mailing address
295 SEVEN FARMS DR, SUITE 202, DANIEL ISLAND, SC 29492-8001
(843) 278-5402
(843) 278-5403

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
963
SC

Other

Enumeration date
05/08/2007
Last updated
07/08/2007
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