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1487012746
MICHAEL EDMOND
GREENVILLE, SC
NPI
1487012746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-02-02
Last Update Date
2016-02-02
Business Address
-- MICHAEL EDMOND
415 RUTHERFORD ST
GREENVILLE, SC 29609-5311
Phone number: 864-242-9193
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Mailing Address
-- MICHAEL EDMOND
PO BOX 4241
GREENVILLE, SC 29608-4241
Phone number:
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