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1740604933
TRACI CARLOS
COLUMBIA, SC
NPI
1740604933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-02-10
Last Update Date
2014-02-10
Business Address
-- TRACI CARLOS MA
2711 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-726-9317
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Mailing Address
-- TRACI CARLOS MA
2711 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-726-9317
Copy
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