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1306185194
WAKELA CLAYTON PORTER
GREENVILLE, SC
NPI
1306185194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-02-13
Last Update Date
2013-02-13
Business Address
-- WAKELA CLAYTON PORTER
1400 CLEVELAND ST
GREENVILLE, SC 29607-2410
Phone number: 864-467-2635
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Mailing Address
-- WAKELA CLAYTON PORTER
1400 CLEVELAND ST
GREENVILLE, SC 29607-2410
Phone number: 864-467-2635
Copy
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