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1235229956
CHARLES BRUCE CANNON
COLUMBIA, SC
NPI
1235229956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: SC 0271)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
-- CHARLES BRUCE CANNON M.Ed., LPC
2715 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-898-8888
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Mailing Address
-- CHARLES BRUCE CANNON M.Ed., LPC
3004 EXMOOR RD
COLUMBIA, SC 29204-7712
Phone number: 803-787-5763
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