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1104985134
KANESHA MACK-NATHANIEL
LEXINGTON, SC
NPI
1104985134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-12-06
Last Update Date
2007-07-08
Business Address
-- KANESHA MACK-NATHANIEL MSW
301 PALMETTO PARK BLVD
LEXINGTON, SC 29072-7872
Phone number: 809-996-1500
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Mailing Address
-- KANESHA MACK-NATHANIEL MSW
301 PALMETTO PARK BLVD
LEXINGTON, SC 29072-7872
Phone number: 809-996-1500
Copy
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