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1972784916
VENTIA 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
2015-03-30
Business Address
VENTIA CATRICE RANDALL LPC
657 TWINFLOWER ST
LITTLE RIVER, SC 29566-7444
Phone number: 704-561-1913
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Mailing Address
VENTIA CATRICE RANDALL LPC
PO BOX 436
LITTLE RIVER, SC 29566-0436
Phone number: 704-561-1913
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