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1376191098
JAZZ & COCO LLC
LITTLE RIVER, SC
NPI
1376191098
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Entity Type
Organization
Authorized Contact
JAMES BRADFORD BENNETT
Owner Clinician
304-610-8661
Organization Subpart ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2019-08-27
Last Update Date
2019-08-27
Business Address
JAZZ & COCO LLC
289 HIGHWAY 90 E UNIT H
LITTLE RIVER, SC 29566-9298
Phone number: 843-685-0998
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Mailing Address
JAZZ & COCO LLC
289 HIGHWAY 90 E UNIT H
LITTLE RIVER, SC 29566-9298
Phone number: 843-685-0998
Copy
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