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1043910706
AUSTIN TY CHRISTIAN
LEXINGTON, SC
NPI
1043910706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2023-03-09
Last Update Date
2023-03-09
Business Address
AUSTIN TY CHRISTIAN MSW
305 PALMETTO PARK BLVD
LEXINGTON, SC 29072-7872
Phone number: 803-996-1500
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Mailing Address
AUSTIN TY CHRISTIAN MSW
305 PALMETTO PARK BLVD
LEXINGTON, SC 29072-7872
Phone number: 803-996-1500
Copy
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