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1811542889
MITTIE GRACE WENTWORTH
GREENWOOD, SC
NPI
1811542889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-08-07
Last Update Date
2019-08-07
Business Address
MITTIE GRACE WENTWORTH
1547 PARKWAY
GREENWOOD, SC 29646-4081
Phone number: 864-229-7120
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Mailing Address
MITTIE GRACE WENTWORTH
1547 PARKWAY
GREENWOOD, SC 29646-4081
Phone number:
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