Most Relevant Information
Provider Data
| NPI Number: | 1003663691 |
| Provider Name: | STEPHANIE DIANE THOMPSON-OTERO AADC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | AADC-2119 |
Most Important Dates
| Enumeration Date: | 05/02/2024 |
| Last Updated: | 05/02/2024 |
Provider Practice Location
150 N DARGAN ST STE 107
FLORENCE
SC
295062590
Practice Location Phone/Fax
| Phone: | 8436184658 |
| Fax: |
Provider Mailing Location
463 CHATHAM PL
FLORENCE
SC
295017525
Provider Mailing Phone/Fax
| Phone: | 8038406703 |
| Fax: |