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1721 Ebenezer Rd Suite 215 Rock Hill SC 29732-4103 | |
(803) 366-7404 | |
Not Available |
Full Name | |
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Speciality | Marriage & Family Therapist |
Location | 1721 Ebenezer Rd, Rock Hill, South Carolina |
Authorized Official Name and Position | Christina Marie Zimmerman (OWNER) |
Authorized Official Contact | 8033727222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1721 Ebenezer Rd Suite 215 Rock Hill SC 29732-4103 Ph: (803) 366-7404 | 1721 Ebenezer Rd Suite 215 Rock Hill SC 29732-4103 Ph: (803) 366-7404 |
NPI Number | 1053501486 |
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Provider Enumeration Date | 08/01/2007 |
Last Update Date | 08/02/2007 |
Identifier | Type | State | Issuer |
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1053501486 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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