ALEXIS GRACE LIGHT

SUMMERVILLE, SC
NPI1174381032
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2024-03-06
Last Update Date2024-03-06
Business Address
ALEXIS GRACE LIGHT
320 MIDLAND PKWY STE C
SUMMERVILLE, SC 29485-7195
Phone number: 574-551-1548
Mailing Address
ALEXIS GRACE LIGHT
320 MIDLAND PKWY STE C
SUMMERVILLE, SC 29485-7195
Phone number: 574-551-1548
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