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3501 Highway 917 Loris SC 29569-9041 | |
| (843) 283-7815 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Art Therapist |
| Location | 3501 Highway 917, Loris, South Carolina |
| Authorized Official Name and Position | Barbara Stephen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8437561403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
210 Mcnabb Shortcut Rd Loris SC 29569-7202 Ph: (843) 756-1403 | 3501 Highway 917 Loris SC 29569-9041 Ph: (843) 283-7815 |
| NPI Number | 1164813267 |
|---|---|
| Provider Enumeration Date | 02/10/2015 |
| Last Update Date | 02/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164813267 | NPI | - | NPPES |
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