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1457594285
DWAYNE ST. THOMAS
CHARLESTON, SC
NPI
1457594285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2009-04-09
Last Update Date
2021-08-05
Business Address
Mr. DWAYNE ST. THOMAS MED
2100 CHARLIE HALL BLVD
CHARLESTON, SC 29414-5832
Phone number: 843-852-4100
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Mailing Address
Mr. DWAYNE ST. THOMAS MED
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Phone number: 310-390-6612
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