Provider Information for 1831358647
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Mrs. AUDRA MICHELLE VANCE LPC
Other Names:Professional Name:Mrs. AUDRA MICHELLE VANCE LPCSex: Female
NPI: 1831358647
Last Updated: 2008-06-06
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1831358647 | ||||||||
| Enumeration Date | 2008-06-06 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1812 ROSEWELL DR ROCK HILL, SC 29732-8474 United States Phone: 803-984-7974 | Fax: | ||||||||
| Primary Practice Address | 1812 ROSEWELL DR ROCK HILL, SC 29732-8474 United States Phone: 803-984-7974 | Fax: | ||||||||
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