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1275038531
ERIC JERROD MORTON
MONCKS CORNER, SC
NPI
1275038531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-03-28
Last Update Date
2018-03-28
Business Address
ERIC JERROD MORTON
306 AIRPORT DR
MONCKS CORNER, SC 29461-2629
Phone number: 843-797-7871
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Mailing Address
ERIC JERROD MORTON
306 AIRPORT LANE
MONKSCORNER, SC 29483
Phone number:
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