Most Relevant Information
Provider Data
NPI Number: | 1003536111 |
Provider Name: | SARA MCAVOY |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: | 14418 |
Most Important Dates
Enumeration Date: | 08/30/2022 |
Last Updated: | 08/30/2022 |
Provider Practice Location
124 MALLARD ST
GREENVILLE
SC
296014046
Practice Location Phone/Fax
Phone: | 8645490222 |
Fax: |
Provider Mailing Location
124 MALLARD ST
GREENVILLE
SC
296014046
Provider Mailing Phone/Fax
Phone: | 8645490222 |
Fax: |