Provider Information for 1548966492
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Mrs. HEATHER BRATT PHELPS LISW-CP, RYT-200
Sex: Female
NPI: 1548966492
Last Updated: 2023-02-02
Certification Date: 2023-02-02
Certification Date: 2023-02-02
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1548966492 | ||||||||
| Enumeration Date | 2023-02-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 210 CHANCERY LN COLUMBIA, SC 29229-8873 United States Phone: 803-505-2870 | Fax: | ||||||||
| Primary Practice Address | 210 CHANCERY LN COLUMBIA, SC 29229-8873 United States Phone: 803-505-2870 | Fax: | ||||||||
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