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1306246251
JEREMY CRADDOCK
LEXINGTON, SC
NPI
1306246251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: SC 5624)
Enumeration Date
2014-08-28
Last Update Date
2014-08-28
Business Address
-- JEREMY CRADDOCK
301A PALMETTO PARK BLVD
LEXINGTON, SC 29072-7872
Phone number: 803-359-3545
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Mailing Address
-- JEREMY CRADDOCK
34 WOODCROSS DR 210
COLUMBIA, SC 29212-2355
Phone number:
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