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1013187632
MARK R. ANDERSON
SPARTANBURG, SC
NPI
1013187632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: SC 5246)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2008-03-11
Last Update Date
2016-09-09
Business Address
-- MARK R. ANDERSON
324 E SAINT JOHN ST
SPARTANBURG, SC 29302-1505
Phone number: 864-707-1953
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Mailing Address
-- MARK R. ANDERSON
45 WOODWIND DR
SPARTANBURG, SC 29302-4517
Phone number: 864-707-1953
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