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1285150615
TAYLA FORTENBERRY
GREENVILLE, SC
NPI
1285150615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: SC 6611)
Enumeration Date
2017-08-17
Last Update Date
2017-08-17
Business Address
TAYLA FORTENBERRY MA, Ed.S, LPC
301 ANDERSON ST
GREENVILLE, SC 29601-4022
Phone number: 864-283-0637
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Mailing Address
TAYLA FORTENBERRY MA, Ed.S, LPC
111 MADISON RIDGE RD
PIEDMONT, SC 29673-7915
Phone number: 864-494-5462
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