SAMICCA BERRY

SPARTANBURG, SC
NPI1578952883
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SC  AD10ST)
Enumeration Date2015-01-12
Last Update Date2015-01-12
Business Address
-- SAMICCA BERRY
187 W BROAD ST
SPARTANBURG, SC 29306-3234
Phone number: 864-582-7588
Mailing Address
-- SAMICCA BERRY
187 W BROAD ST P.O. BOX 1252
SPARTANBURG, SC 29306-3234
Phone number: 864-582-7588
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