JAMES BLAKELY GORDON

COLUMBIA, SC
NPI1669439352
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: SC  #4691)
Enumeration Date2006-04-27
Last Update Date2007-07-08
Business Address
MR. JAMES BLAKELY GORDON MRC
1821 PICKENS ST
COLUMBIA, SC 29201-2630
Phone number: 803-929-1234
Mailing Address
MR. JAMES BLAKELY GORDON MRC
1800 COLONIAL DRIVE
COLUMBIA, SC 29203-2219
Phone number: 803-898-1555
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