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1124854773
TAVIS CONNOR ROOT
SPARTANBURG, SC
NPI
1124854773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: SC 10170)
Enumeration Date
2024-09-10
Last Update Date
2024-09-10
Business Address
Mr. TAVIS CONNOR ROOT LPC
3211 REIDVILLE RD STE C
SPARTANBURG, SC 29301-6120
Phone number: 864-278-0593
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Mailing Address
Mr. TAVIS CONNOR ROOT LPC
200 HEYWOOD AVE
SPARTANBURG, SC 29307-1706
Phone number: 606-793-1398
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