Individual
HEATHER GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
431 W MARTINTOWN RD, NORTH AUGUSTA, SC 29841-3187
(803) 278-0880
Mailing address
431 W MARTINTOWN RD, NORTH AUGUSTA, SC 29841-3187
(803) 278-0880
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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