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NPI Code Detail

MEDICARE: MRS. MARIAN B PEELER MMFT, LLMT

MEDICARE:  MRS. MARIAN B PEELER  MMFT, LLMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist5013SC

General Provider Information

NPI Number : 1043513518
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIAN B PEELER MMFT, LLMT
Provider Business Mailing Address
First Line : 153 N SPRING ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29306-2309
Country : US
Telephone Number : 864-583-5969
Fax Number : 864-580-5460
Provider Business Practice Location Address
First Line : 153 N SPRING ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29306-2309
Country : US
Telephone Number : 864-583-5969
Fax Number : 864-580-5460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2010
Last Update Date : 12/06/2010

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Directions to “ MRS. MARIAN B PEELER MMFT, LLMT” Practice Location

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