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1942701487
BRUCE FRANK FISK
COLUMBIA, SC
NPI
1942701487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-02-21
Last Update Date
2018-02-21
Business Address
BRUCE FRANK FISK CPSS, CAC
2711 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-726-9344
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Mailing Address
BRUCE FRANK FISK CPSS, CAC
2711 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-726-9300
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