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1073924114
JOHN ANTHONY ROMAN
MYRTLE BEACH, SC
NPI
1073924114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: SC 11070)
Enumeration Date
2014-05-12
Last Update Date
2017-02-21
Business Address
Mr. JOHN ANTHONY ROMAN LISW-CP
917 BROADWAY ST STE 3
MYRTLE BEACH, SC 29577-3718
Phone number: 843-582-7887
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Mailing Address
Mr. JOHN ANTHONY ROMAN LISW-CP
917 BROADWAY ST STE 3
MYRTLE BEACH, SC 29577-3718
Phone number: 843-582-7887
Copy
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