Individual
MRS. MARCHELLE DAWN GOUVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
224 E MAIN ST, LEXINGTON, SC 29072-3546
(803) 808-5222
(803) 957-2062
Mailing address
113 SUNCHASER DR, COLUMBIA, SC 29229-7307
(803) 238-8613
(803) 376-4099
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006419
SC
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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