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1619578390
TODD JAMES COLOSIMO
MYRTLE BEACH, SC
NPI
1619578390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC CADC-26817)
Enumeration Date
2020-11-08
Last Update Date
2020-11-08
Business Address
TODD JAMES COLOSIMO CADC
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579-7335
Phone number: 843-903-6212
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Mailing Address
TODD JAMES COLOSIMO CADC
863 SULTANA DR
LITTLE RIVER, SC 29566-8511
Phone number: 910-212-0715
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