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1720001571
MACK MILES WARREN
COLUMBIA, SC
NPI
1720001571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: SC 1016)
Enumeration Date
2006-07-25
Last Update Date
2007-07-08
Business Address
Mr. MACK MILES WARREN LPC
1330 TAYLOT AT MARION ST PALMETTO BAPTIST COUNSELING CENTER
COLUMBIA, SC 29201
Phone number: 803-296-2548
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Mailing Address
Mr. MACK MILES WARREN LPC
1321 LADY STREET, FIRST FLOOR PALMETTO HEALTH
COLUMBIA, SC 29201
Phone number: 803-296-2548
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