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1760035778
MARISSIA CHILDRESS
GREENVILLE, SC
NPI
1760035778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2019-07-18
Last Update Date
2019-07-18
Business Address
MARISSIA CHILDRESS
124 MALLARD ST
GREENVILLE, SC 29601-4046
Phone number: 864-241-1040
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Mailing Address
MARISSIA CHILDRESS
124 MALLARD ST
GREENVILLE, SC 29601-4046
Phone number: 864-241-1040
Copy
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