CHARLES WAYNE ELLIS

ROCK HILL, SC
NPI1164763777
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SC  1211149)
Enumeration Date2013-03-06
Last Update Date2013-03-06
Business Address
Mr. CHARLES WAYNE ELLIS CACI, MAC
199 S HERLONG AVE
ROCK HILL, SC 29732-1186
Phone number: 803-324-1800
Mailing Address
Mr. CHARLES WAYNE ELLIS CACI, MAC
12304 JACQUELYN CT
CHARLOTTE, NC 28273-9017
Phone number: 704-575-6165
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