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1003414947
CORETTA CASLEY
MULLINS, SC
NPI
1003414947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-10-13
Last Update Date
2020-10-13
Business Address
CORETTA CASLEY Master
424 GUYTON CT
MULLINS, SC 29574-6014
Phone number: 843-423-8292
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Mailing Address
CORETTA CASLEY Master
PO BOX 1011
MARION, SC 29571-1011
Phone number: 843-423-8292
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