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1427404664
EDWINA MACK
COLUMBIA, SC
NPI
1427404664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-05-06
Last Update Date
2016-05-06
Business Address
-- EDWINA MACK MSW
1800 KILLIAN LAKES DR APT 4303
COLUMBIA, SC 29203-8804
Phone number: 843-325-5466
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Mailing Address
-- EDWINA MACK MSW
1800 KILLIAN LAKES DR APT 4303
COLUMBIA, SC 29203-8804
Phone number: 843-325-5466
Copy
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