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1770121394
MICHAEL WADE CROUCH
PICKENS, SC
NPI
1770121394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2019-12-13
Last Update Date
2019-12-13
Business Address
MICHAEL WADE CROUCH NCPRSS
309 E MAIN ST
PICKENS, SC 29671-2319
Phone number: 864-898-5800
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Mailing Address
MICHAEL WADE CROUCH NCPRSS
309 E MAIN ST
PICKENS, SC 29671-2319
Phone number: 864-898-5800
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