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1841065851
JAY SPATEHOLTS
GOOSE CREEK, SC
NPI
1841065851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-11-20
Last Update Date
2023-11-20
Business Address
Mr. JAY SPATEHOLTS
96 WISTERIA RD
GOOSE CREEK, SC 29445-3495
Phone number: 843-867-6133
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Mailing Address
Mr. JAY SPATEHOLTS
96 WISTERIA RD
GOOSE CREEK, SC 29445-3495
Phone number: 843-867-6133
Copy
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