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1043459084
LYLE HENDRICKS JACKS
EASLEY, SC
NPI
1043459084
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Former Name
LYLE HENDRICKS GREENE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: SC 5292)
Enumeration Date
2009-02-16
Last Update Date
2009-02-16
Business Address
Ms. LYLE HENDRICKS JACKS LMSW
1807A E MAIN ST
EASLEY, SC 29640-3841
Phone number: 864-442-7482
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Mailing Address
Ms. LYLE HENDRICKS JACKS LMSW
1807A E MAIN ST
EASLEY, SC 29640-3841
Phone number: 864-442-7482
Copy
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