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1073044723
MARLA ROSE DIXON
COLUMBIA, SC
NPI
1073044723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-03-24
Last Update Date
2017-03-24
Business Address
-- MARLA ROSE DIXON
2711 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-726-9353
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Mailing Address
-- MARLA ROSE DIXON
130 DIXON RD
GASTON, SC 29053-8815
Phone number: 850-491-0706
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