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1477119865
ANNE E MIRACLE
GOOSE CREEK, SC
NPI
1477119865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: SC 5401)
Enumeration Date
2019-05-13
Last Update Date
2019-06-11
Business Address
ANNE E MIRACLE LPC
100 CENTRAL AVE STE 203A
GOOSE CREEK, SC 29445-2979
Phone number: 843-892-9414
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Mailing Address
ANNE E MIRACLE LPC
100-A CENTRAL AVE SUITE 203
GOOSE CREEK, SC 29445
Phone number: 843-892-9414
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