Individual
MARY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 COMMERCE ST, MANNING, SC 29102-2638
(803) 435-2124
Mailing address
215 N MAGNOLIA ST, SUMTER, SC 29150-4943
(803) 775-9364
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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