Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 4200 | SC |
NPI | 1003490830 |
---|---|
Provider Name | Mrs. Sara Elizabeth Weeks |
First Address | Mc Clellanville, SC 29458-9741 |
Second Address | Mc Clellanville, SC 29458-9741 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2021 |
Last Update Date | 07/05/2021 |