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1184350506
ELIZABETH RENEE BRALLEY
MYRTLE BEACH, SC
NPI
1184350506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-07-27
Last Update Date
2022-07-27
Business Address
ELIZABETH RENEE BRALLEY BSW
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579-7335
Phone number: 800-805-6989
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Mailing Address
ELIZABETH RENEE BRALLEY BSW
3065 BROOKSIDE DR
ZANESVILLE, OH 43701-7827
Phone number: 740-975-2018
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