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1043598204
JEFFREY LYNN MCLAIN
CHESTERFIELD, SC
NPI
1043598204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SC 11040110)
Enumeration Date
2011-07-21
Last Update Date
2011-07-21
Business Address
Mr. JEFFREY LYNN MCLAIN CAC, LCAS
1477 TED MELTON ROAD
CHESTERFIELD, SC 29709-0347
Phone number: 843-623-3077
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Mailing Address
Mr. JEFFREY LYNN MCLAIN CAC, LCAS
P.O. BOX 347 1477 TED MELTON ROAD
CHESTERFIELD, SC 29709-0347
Phone number: 843-623-3077
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