Michael Paul Desire

NPI #1952675837 in Conway, South Carolina

Provider Information

NPI Number
1952675837
Entity Type
Individual
Name
Michael Paul Desire
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Feb 24, 2012
Last Updated
Feb 24, 2012

Practice Location

Address
164 WACCAMAW MEDICAL PARK DR
City
Conway
ZIP Code
29526-8903
Phone
(843) 347-4888

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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