Provider Information for 1740613975
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Mrs. ESTHER WILSON GOSNELL LPC, LPCS, LAC
Sex: Female
NPI: 1740613975
Last Updated: 2024-10-09
Certification Date: 2024-10-09
Certification Date: 2024-10-09
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1740613975 | ||||||||||||
| Enumeration Date | 2013-08-12 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 441 FRIENDSHIP CHURCH RD PAULINE, SC 29374-2918 United States Phone: 864-764-4047 | Fax: | ||||||||||||
| Primary Practice Address | 1463 E MAIN ST STE C SPARTANBURG, SC 29307-2246 United States Phone: 864-764-4047 | Fax:864-401-0022 | ||||||||||||
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