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Individual

PETER TUERK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
109 BEE ST., CHARLESTON, SC 29401-5799
(843) 577-5011
Mailing address
81 ASHLEY AVE APT B, CHARLESTON, SC 29401-1287
(434) 409-3901

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
54202
SC
Enumeration date
05/14/2007
Last updated
07/08/2007
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