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1386947711
PHYLLIS LYNN MITCHUM
CHARLESTON, SC
NPI
1386947711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: SC LMSW-9292)
Enumeration Date
2010-12-07
Last Update Date
2012-07-18
Business Address
-- PHYLLIS LYNN MITCHUM
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-792-1414
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Mailing Address
-- PHYLLIS LYNN MITCHUM
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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