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1487106753
SCOTT JOHNSON
BENNETTSVILLE, SC
NPI
1487106753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-11-02
Last Update Date
2016-11-02
Business Address
-- SCOTT JOHNSON
104 USHER ST
BENNETTSVILLE, SC 29512-2710
Phone number: 843-423-8292
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Mailing Address
-- SCOTT JOHNSON
104 USHER ST
BENNETTSVILLE, SC 29512-2710
Phone number:
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