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1912248600
TERRANCE BANNISTER
COLUMBIA, SC
NPI
1912248600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-03-06
Last Update Date
2013-03-06
Business Address
-- TERRANCE BANNISTER
3809 ROSEWOOD DR
COLUMBIA, SC 29205-3533
Phone number: 803-786-1844
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Mailing Address
-- TERRANCE BANNISTER
3809 ROSEWOOD DR
COLUMBIA, SC 29205-3533
Phone number: 803-786-1844
Copy
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