SearchSouth Carolina302R00000X

Amy Wielkopolan, LMBT

NPI 1790849453 · on the registry since 2006 · sole proprietor

Practice

Address
4370 Crepe Myrtle Ct Unit A
Murrells Inlet, SC 29576
Phone
(843) 504-2905
Fax
(000) 000-0000

Registry record

Primary taxonomy
302R00000X
302R00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina