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General NPI Number Information
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NPI Number | 1922135458
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Entity Type | Individual
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Provider Name | SYLVIA MICHELLE WARDY LPC
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Gender | Female
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 170 MEETING ST
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City | CHARLESTON
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State | SC
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Zip | 29401-3153
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Country | US
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Telephone | 323-205-7088
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Fax | 833-419-0181
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Provider Business Mailing Address
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Address Line | 10 RED CLOVER LN
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City | TAYLORS
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State | SC
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Zip | 29687-5545
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Country | US
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Telephone | 864-419-8241
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6480
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License Number State | SC
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