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1922390186
ATAVIOUS A JOHNSON
ROCK HILL, SC
NPI
1922390186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-05-06
Last Update Date
2011-05-06
Business Address
-- ATAVIOUS A JOHNSON
223 E MAIN ST SUITE 300
ROCK HILL, SC 29730-4571
Phone number: 803-328-9600
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Mailing Address
-- ATAVIOUS A JOHNSON
250 PIEDMONT BLVD
ROCK HILL, SC 29732-1835
Phone number: 803-328-9600
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