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1033745898
HEATHER LOUISE MACK
GREENVILLE, SC
NPI
1033745898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2020-03-12
Last Update Date
2020-03-12
Business Address
HEATHER LOUISE MACK
1400 CLEVELAND ST
GREENVILLE, SC 29607-2410
Phone number: 864-467-3790
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Mailing Address
HEATHER LOUISE MACK
PO BOX 1948
GREENVILLE, SC 29602-1948
Phone number:
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