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1275809881
CHARLES JOHN HAYNESWORTH
LEXINGTON, SC
NPI
1275809881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-03-28
Last Update Date
2012-03-28
Business Address
-- CHARLES JOHN HAYNESWORTH MA
301 PALMETTO PARK BLVD
LEXINGTON, SC 29072-7872
Phone number: 803-339-9212
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Mailing Address
-- CHARLES JOHN HAYNESWORTH MA
301 PALMETTO PARK BLVD
LEXINGTON, SC 29072-7872
Phone number: 803-339-9212
Copy
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