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1184061525
JEFFREY ALAN CRADDOCK
CONWAY, SC
NPI
1184061525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-05-24
Last Update Date
2013-05-24
Business Address
Mr. JEFFREY ALAN CRADDOCK MA, CACP
901 BELL ST
CONWAY, SC 29526-4113
Phone number: 843-488-1300
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Mailing Address
Mr. JEFFREY ALAN CRADDOCK MA, CACP
2404 WISE RD
CONWAY, SC 29526-5521
Phone number: 843-365-8884
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