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Mary Ann Outlaw

Counselor, Mental Health in Bennettsville, SC. Individual provider (NPI-1).

NPI number1114598166
StatusActive
Last updated in NPPESJul 9, 2021

Details

NPI
1114598166
Entity type
Individual (NPI-1)
Name
Mary Ann Outlaw
Sex
Female
Sole proprietor
No
Enumeration date
Jul 9, 2021
Certification date
Jul 9, 2021
Last updated
Jul 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

1035 Cheraw St
Bennettsville, SC 29512-2422

Phone 843-454-0841 · Fax 843-454-0635

Mailing address

Po Box 918
Bennettsville, SC 29512-0918

Phone 843-454-0841 · Fax 843-454-0635

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