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1174381032
ALEXIS GRACE LIGHT
SUMMERVILLE, SC
NPI
1174381032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-03-06
Last Update Date
2024-03-06
Business Address
ALEXIS GRACE LIGHT
320 MIDLAND PKWY STE C
SUMMERVILLE, SC 29485-7195
Phone number: 574-551-1548
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Mailing Address
ALEXIS GRACE LIGHT
320 MIDLAND PKWY STE C
SUMMERVILLE, SC 29485-7195
Phone number: 574-551-1548
Copy
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