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1245788686
JORDAN MARIE CLEVENGER
SPARTANBURG, SC
NPI
1245788686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-09-14
Last Update Date
2016-09-14
Business Address
-- JORDAN MARIE CLEVENGER
187 W BROAD ST
SPARTANBURG, SC 29306-3234
Phone number: 864-582-7588
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Mailing Address
-- JORDAN MARIE CLEVENGER
160 TUSCANY LN
CHESNEE, SC 29323-8119
Phone number: 864-384-4828
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