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1336797596
HALEY NICOLE WATERS
BARNWELL, SC
NPI
1336797596
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Former Name
HALEY NICOLE CLARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2019-08-30
Last Update Date
2019-08-30
Business Address
HALEY NICOLE WATERS MS
916 REYNOLDS RD
BARNWELL, SC 29812-6358
Phone number: 803-259-7170
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Mailing Address
HALEY NICOLE WATERS MS
217 PINE LOG RD
BEECH ISLAND, SC 29842-8308
Phone number: 706-840-4032
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