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1073289567
MATTHEW DAVID LEGGETT
CONWAY, SC
NPI
1073289567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-08-17
Last Update Date
2021-08-17
Business Address
MATTHEW DAVID LEGGETT
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-4888
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Mailing Address
MATTHEW DAVID LEGGETT
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-4888
Copy
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