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1760194021
GRANT SHEALY
SENECA, SC
NPI
1760194021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-12-19
Last Update Date
2022-12-19
Business Address
GRANT SHEALY
691 S OAK ST
SENECA, SC 29678-3827
Phone number: 864-882-7563
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Mailing Address
GRANT SHEALY
691 S OAK ST
SENECA, SC 29678-3827
Phone number: 864-882-7563
Copy
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