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1306393285
DOMINIC SIMON
SUMTER, SC
NPI
1306393285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: SC 15854)
Enumeration Date
2016-09-08
Last Update Date
2023-08-21
Business Address
DOMINIC SIMON LMSW
610 E LIBERTY ST
SUMTER, SC 29153-5035
Phone number: 803-225-6441
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Mailing Address
DOMINIC SIMON LMSW
PO BOX 644
SPARTANBURG, SC 29304-0644
Phone number: 864-451-2258
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