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1497106553
MISTY SCOTT
CONWAY, SC
NPI
1497106553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-06-29
Last Update Date
2016-06-29
Business Address
-- MISTY SCOTT CACP
2404 WISE RD
CONWAY, SC 29526-5521
Phone number: 843-488-1300
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Mailing Address
-- MISTY SCOTT CACP
2404 WISE RD
CONWAY, SC 29526-5521
Phone number: 843-488-1300
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