MASON FANT VICKERY

GREENVILLE, SC
NPI1144929753
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-03-02
Last Update Date2023-03-02
Business Address
MASON FANT VICKERY
1400 CLEVELAND ST
GREENVILLE, SC 29607-2410
Phone number: 864-467-3790
Mailing Address
MASON FANT VICKERY
39 SMYTHE AVE
GREENVILLE, SC 29605-4526
Phone number: 615-973-4516
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