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1710900964
CHARLES DAVID TOLLISON
GREENVILLE, SC
NPI
1710900964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: SC 293)
Enumeration Date
2006-07-26
Last Update Date
2007-11-30
Business Address
-- CHARLES DAVID TOLLISON PhD
220 ROPER MTN RD EXT
GREENVILLE, SC 29615
Phone number: 864-295-6399
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Mailing Address
-- CHARLES DAVID TOLLISON PhD
1330 BOILING SPRINGS ROAD SUITE 2700
SPARTANBURG, SC 29303
Phone number: 864-583-0053
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