Provider Information for 1710103700
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Mrs. CHERRI MELISSA CRISP LPC
Sex: Female
NPI: 1710103700
Last Updated: 2024-01-16
Certification Date: 2024-01-16
Certification Date: 2024-01-16
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1710103700 | ||||||||
| Enumeration Date | 2007-04-18 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 510 COTTON BLOOM CT YORK, SC 29745-2905 United States Phone: 803-524-7146 | Fax:803-329-7843 | ||||||||
| Primary Practice Address | 510 COTTON BLOOM CT YORK, SC 29745-2905 United States Phone: 803-524-7146 | Fax: | ||||||||
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