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1154150043
JAMES BENTON MOON
SENECA, SC
NPI
1154150043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2024-07-29
Last Update Date
2024-07-29
Business Address
JAMES BENTON MOON
209 OCONEE SQUARE DR
SENECA, SC 29678-2546
Phone number: 800-805-6989
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Mailing Address
JAMES BENTON MOON
705 BROADWAY ST UNIT 1202
SENECA, SC 29672-8046
Phone number: 479-264-2021
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