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1477005189
MARK COLLINS
AIKEN, SC
NPI
1477005189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-10-28
Last Update Date
2016-10-28
Business Address
-- MARK COLLINS
410 UNIVERSITY PKWY
AIKEN, SC 29801-6810
Phone number: 803-645-6911
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Mailing Address
-- MARK COLLINS
1112 BLUE SPRUCE DR
GRANITEVILLE, SC 29829-3980
Phone number:
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