Mustang Medicine Works, LLC
NPI #1124428016 in Liberty, South Carolina
Provider Information
- NPI Number
- 1124428016
- Entity Type
- Organization
- Organization Name
- Mustang Medicine Works, LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Aug 27, 2014
- Last Updated
- Aug 27, 2014
Practice Location
- Address
- 5642 MOOREFIELD MEMORIAL HWY.
- City
- Liberty
- State
- South Carolina
- ZIP Code
- 29657
- Phone
- (864) 508-0781
Authorized Official
- Name
- DR. DARRELL GENE YARDLEY, PH.D., LPC
- Title
- DIRECTOR
- Phone
- (864) 508-0781
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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