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1548913528
DEREK HENRY BRACKEN
ANDERSON, SC
NPI
1548913528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2022-01-31
Last Update Date
2022-02-01
Business Address
DEREK HENRY BRACKEN
200 MCGEE RD
ANDERSON, SC 29625-2104
Phone number: 864-965-9450
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Mailing Address
DEREK HENRY BRACKEN
200 MCGEE RD
ANDERSON, SC 29625-2104
Phone number: 864-965-9450
Copy
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