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702 James St Timmonsville SC 29161-1600 | |
(678) 993-5881 | |
Not Available |
Full Name | |
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Speciality | Counselor - Mental Health |
Location | 702 James St, Timmonsville, South Carolina |
Authorized Official Name and Position | La'dea Miranda Wright (CEO/DIRECTOR) |
Authorized Official Contact | 6789935881 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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702 James St Timmonsville SC 29161-1600 Ph: (678) 993-5881 | 702 James St Timmonsville SC 29161-1600 Ph: (678) 993-5881 |
NPI Number | 1063144624 |
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Provider Enumeration Date | 06/30/2022 |
Last Update Date | 06/30/2022 |
Certification Date | 06/30/2022 |
Identifier | Type | State | Issuer |
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1063144624 | NPI | - | NPPES |