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1972784916
VENITA CATRICE RANDALL
LITTLE RIVER, SC
NPI
1972784916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2007-11-19
Last Update Date
2024-10-28
Business Address
VENITA CATRICE RANDALL MA, LPC, LPCS, LAC
657 TWINFLOWER ST
LITTLE RIVER, SC 29566-7444
Phone number: 704-561-1913
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Mailing Address
VENITA CATRICE RANDALL MA, LPC, LPCS, LAC
PO BOX 924
NORTH MYRTLE BEACH, SC 29597-0924
Phone number: 843-945-0658
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