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1609612647
JACOB H WEIDNER
COLUMBIA, SC
NPI
1609612647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: SC 8546)
Enumeration Date
2024-07-08
Last Update Date
2024-07-08
Business Address
JACOB H WEIDNER MA
810 DUTCH SQUARE BLVD STE 207
COLUMBIA, SC 29210-7318
Phone number: 803-866-6052
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Mailing Address
JACOB H WEIDNER MA
810 DUTCH SQUARE BLVD STE 207
COLUMBIA, SC 29210-7318
Phone number: 803-847-2496
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