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1629788955
ETHAN GRAY TAYLOR
LEXINGTON, SC
NPI
1629788955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: SC 8213)
Enumeration Date
2022-11-28
Last Update Date
2022-11-28
Business Address
ETHAN GRAY TAYLOR LPC-A
426 S LAKE DR
LEXINGTON, SC 29072-3414
Phone number: 803-814-5559
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Mailing Address
ETHAN GRAY TAYLOR LPC-A
426 S LAKE DR
LEXINGTON, SC 29072-3414
Phone number: 803-814-5559
Copy
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