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1407479009
PAUL CROLLEY
MYRTLE BEACH, SC
NPI
1407479009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC007980)
Enumeration Date
2020-05-19
Last Update Date
2020-05-19
Business Address
PAUL CROLLEY LPC
2860 ETON ST
MYRTLE BEACH, SC 29579-6711
Phone number: 404-617-9499
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Mailing Address
PAUL CROLLEY LPC
2860 ETON ST
MYRTLE BEACH, SC 29579-6711
Phone number: 404-617-9499
Copy
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