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1376209007
AMANDA PEREIRA
MYRTLE BEACH, SC
NPI
1376209007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-11-17
Last Update Date
2022-07-28
Business Address
AMANDA PEREIRA
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579-7335
Phone number: 843-903-6212
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Mailing Address
AMANDA PEREIRA
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579-7335
Phone number:
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