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1265135875
AMANDA WILSON
MOUNT PLEASANT, SC
NPI
1265135875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: SC COU.8380)
Enumeration Date
2023-03-23
Last Update Date
2023-03-23
Business Address
AMANDA WILSON
106 PITT ST
MOUNT PLEASANT, SC 29464-5319
Phone number: 843-323-0693
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Mailing Address
AMANDA WILSON
1014 BENNINGTON DR
CHARLESTON, SC 29492-8473
Phone number: 843-614-1774
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