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1730112913
M JENNIFER WATTENBARGER
CONWAY, SC
NPI
1730112913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: SC 2489)
Enumeration Date
2006-07-09
Last Update Date
2007-07-08
Business Address
-- M JENNIFER WATTENBARGER M.Ed., LPC
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-5060
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Mailing Address
-- M JENNIFER WATTENBARGER M.Ed., LPC
1623 25TH AVE N
NORTH MYRTLE BEACH, SC 29582-6103
Phone number: 843-249-2069
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