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1447827589
THERON COOPER GODFREY
CHARLESTON, SC
NPI
1447827589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-06-08
Last Update Date
2021-06-08
Business Address
THERON COOPER GODFREY
1964 ASHLEY RIVER RD UNIT 80901B
CHARLESTON, SC 29416-1637
Phone number: 843-246-4322
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Mailing Address
THERON COOPER GODFREY
1964 ASHLEY RIVER RD UNIT 80901B
CHARLESTON, SC 29416-1637
Phone number: 843-246-4322
Copy
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