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1477865970
MACKENZIE BAGWELL CLARK
GREENVILLE, SC
NPI
1477865970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-07-13
Last Update Date
2010-07-13
Business Address
Mrs. MACKENZIE BAGWELL CLARK
124 MALLARD ST.
GREENVILLE, SC 29601-4046
Phone number: 864-241-1040
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Mailing Address
Mrs. MACKENZIE BAGWELL CLARK
124 MALLARD ST.
GREENVILLE, SC 29601-4046
Phone number: 864-241-1040
Copy
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