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1467127175
CHALLIS EVELYN RUSSELL
MYRTLE BEACH, SC
NPI
1467127175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: SC 7920)
Enumeration Date
2021-08-13
Last Update Date
2021-08-13
Business Address
CHALLIS EVELYN RUSSELL MA, LPC
141 MCDONALD CT
MYRTLE BEACH, SC 29588-6134
Phone number: 843-294-0646
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Mailing Address
CHALLIS EVELYN RUSSELL MA, LPC
141 MCDONALD CT
MYRTLE BEACH, SC 29588-6134
Phone number: 843-294-0646
Copy
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