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1487475984
KAMIL LATRICE BRADDOCK
EASLEY, SC
NPI
1487475984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-10-18
Last Update Date
2024-10-18
Business Address
KAMIL LATRICE BRADDOCK
1653 E MAIN ST
EASLEY, SC 29640-3791
Phone number: 864-306-8533
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Mailing Address
KAMIL LATRICE BRADDOCK
1653 E MAIN ST
EASLEY, SC 29640-3791
Phone number: 864-306-8533
Copy
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