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1134603285
JAMES LEE REAVIS
WALTERBORO, SC
NPI
1134603285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-09-24
Last Update Date
2018-09-24
Business Address
Mr. JAMES LEE REAVIS
1439 THUNDERBOLT DR
WALTERBORO, SC 29488-9341
Phone number: 843-538-4343
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Mailing Address
Mr. JAMES LEE REAVIS
PO BOX 1037
WALTERBORO, SC 29488-0031
Phone number: 843-538-4343
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