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1639863517
TYSHAWNA CORALICIA SANDERS
GREENVILLE, SC
NPI
1639863517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-06-05
Last Update Date
2023-06-05
Business Address
TYSHAWNA CORALICIA SANDERS
1400 CLEVELAND ST
GREENVILLE, SC 29607-2410
Phone number: 846-467-3790
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Mailing Address
TYSHAWNA CORALICIA SANDERS
PO BOX 1948
GREENVILLE, SC 29602-1948
Phone number: 864-467-2677
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