KANEISHA TIERRA WHACK

SUMTER, SC
NPI1902372527
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2018-10-22
Last Update Date2018-10-22
Business Address
KANEISHA TIERRA WHACK MS, CACP
525 N LAFAYETTE DR
SUMTER, SC 29150-4347
Phone number: 803-436-2462
Mailing Address
KANEISHA TIERRA WHACK MS, CACP
115 N HARVIN ST
SUMTER, SC 29150-4956
Phone number: 803-436-2462
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