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1891752846
SUSAN CAROLE GENTRY
COLUMBIA, SC
NPI
1891752846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: SC 6196)
Enumeration Date
2006-04-26
Last Update Date
2019-10-11
Business Address
MRS. SUSAN CAROLE GENTRY LISW-CP, CSC
23 SURREY CT
COLUMBIA, SC 29212-3139
Phone number: 803-551-2900
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Mailing Address
MRS. SUSAN CAROLE GENTRY LISW-CP, CSC
23 SURREY CT
COLUMBIA, SC 29212-3139
Phone number: 803-551-2900
Copy
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