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1518357557
ISIAH SMALLS
BEAUFORT, SC
NPI
1518357557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-01-29
Last Update Date
2015-01-29
Business Address
Mr. ISIAH SMALLS
1905 DUKE ST 270
BEAUFORT, SC 29902-4403
Phone number: 843-255-6000
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Mailing Address
Mr. ISIAH SMALLS
1905 DUKE ST 270
BEAUFORT, SC 29902-4403
Phone number: 843-255-6000
Copy
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