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1720664022
ILLYANA MARIE ANNUNZIATO
MYRTLE BEACH, SC
NPI
1720664022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: SC 7105)
Enumeration Date
2021-03-18
Last Update Date
2021-03-19
Business Address
ILLYANA MARIE ANNUNZIATO MA, LPC, BC-TMH, NCC
4466 HOLMESTOWN RD
MYRTLE BEACH, SC 29588-7490
Phone number: 585-329-5064
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Mailing Address
ILLYANA MARIE ANNUNZIATO MA, LPC, BC-TMH, NCC
1740 PROMISE PL
MYRTLE BEACH, SC 29588-5008
Phone number: 585-329-5064
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