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1194184176
ERVIN ERIC BEASLEY
LEXINGTON, SC
NPI
1194184176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: SC 6913)
Enumeration Date
2016-02-18
Last Update Date
2019-09-10
Business Address
ERVIN ERIC BEASLEY LPC
244 MIDWAY RD
LEXINGTON, SC 29072
Phone number: 803-667-2146
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Mailing Address
ERVIN ERIC BEASLEY LPC
244 MIDWAY RD
LEXINGTON, SC 29072-9303
Phone number: 803-318-7272
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