JEREMY CRADDOCK

LEXINGTON, SC
NPI1306246251
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: SC  5624)
Enumeration Date2014-08-28
Last Update Date2014-08-28
Business Address
-- JEREMY CRADDOCK
301A PALMETTO PARK BLVD
LEXINGTON, SC 29072-7872
Phone number: 803-359-3545
Mailing Address
-- JEREMY CRADDOCK
34 WOODCROSS DR 210
COLUMBIA, SC 29212-2355
Phone number: