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1386996726
JUSTINE SCOTT ROUSE
CONWAY, SC
NPI
1386996726
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Former Name
JUSTINE ROBERTA SCOTT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2012-10-10
Last Update Date
2012-10-10
Business Address
JUSTINE SCOTT ROUSE
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-5060
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Mailing Address
JUSTINE SCOTT ROUSE
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number:
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