| Teresa Redfearn Llc | |
|
718 S 4th St Hartsville SC 29550-5724 | |
| (843) 917-0495 | |
| (843) 917-0495 |
| Full Name | Teresa Redfearn Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 718 S 4th St, Hartsville, South Carolina |
| Authorized Official Name and Position | Tracy Wallace Redfearn (OWNER) |
| Authorized Official Contact | 8439170495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa Redfearn Llc 718 S 4th St Po Box 1257 Hartsville SC 29550-5724 Ph: (843) 917-0495 | Teresa Redfearn Llc 718 S 4th St Hartsville SC 29550-5724 Ph: (843) 917-0495 |
| NPI Number | 1689038325 |
|---|---|
| Provider Enumeration Date | 04/08/2016 |
| Last Update Date | 04/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689038325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4605 (South Carolina) | Primary |
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