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1083399448
ADRIEN ALEXIS WAMBOLDT
GREENVILLE, SC
NPI
1083399448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-06-21
Last Update Date
2023-06-21
Business Address
ADRIEN ALEXIS WAMBOLDT
130 INDUSTRIAL DR
GREENVILLE, SC 29607-3241
Phone number: 864-467-3770
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Mailing Address
ADRIEN ALEXIS WAMBOLDT
1400 CLEVELAND ST
GREENVILLE, SC 29607-2410
Phone number: 864-467-3790
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