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1164411948
BONNIE FRALIX CLEAVELAND
CHARLESTON, SC
NPI
1164411948
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Former Name
BONNIE LOUISE CLEAVELAND
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: SC 666)
Enumeration Date
2005-10-14
Last Update Date
2008-12-02
Business Address
Dr. BONNIE FRALIX CLEAVELAND PhD DBPP
1173 SOUTHGATE DR SUITE A
CHARLESTON, SC 29407-4209
Phone number: 843-571-4005
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Mailing Address
Dr. BONNIE FRALIX CLEAVELAND PhD DBPP
PO BOX 31088
CHARLESTON, SC 29417-1088
Phone number: 843-571-4005
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