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1275149882
RYAN ISRAEL
SENECA, SC
NPI
1275149882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2020-09-18
Last Update Date
2020-09-18
Business Address
RYAN ISRAEL
209 OCONEE SQUARE DR
SENECA, SC 29678-2546
Phone number: 800-805-6989
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Mailing Address
RYAN ISRAEL
209 OCONEE SQUARE DR
SENECA, SC 29678-2546
Phone number: 800-805-6986
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