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1558837112
TERRENCE DARRELL GAMBRELL
COLUMBIA, SC
NPI
1558837112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-10-22
Last Update Date
2018-10-22
Business Address
TERRENCE DARRELL GAMBRELL MA
2711 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-477-5765
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Mailing Address
TERRENCE DARRELL GAMBRELL MA
2711 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number:
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