Provider First Line Business Practice Location Address:
CARYN COONEY, LMT
Provider Second Line Business Practice Location Address:
302 MIDLAND PARKWAY, SUITE A4
Provider Business Practice Location Address City Name:
SUMMERVILLE
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29485-2948
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-901-9135
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/14/2021