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1669439352
JAMES BLAKELY GORDON
COLUMBIA, SC
NPI
1669439352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: SC #4691)
Enumeration Date
2006-04-27
Last Update Date
2007-07-08
Business Address
Mr. JAMES BLAKELY GORDON MRC
1821 PICKENS ST
COLUMBIA, SC 29201-2630
Phone number: 803-929-1234
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Mailing Address
Mr. JAMES BLAKELY GORDON MRC
1800 COLONIAL DRIVE
COLUMBIA, SC 29203-2219
Phone number: 803-898-1555
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