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1972843571
TIM EDWARD STILL
GREENWOOD, SC
NPI
1972843571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: SC 12033033)
Enumeration Date
2013-02-20
Last Update Date
2013-02-20
Business Address
MR. TIM EDWARD STILL CACII
1612 RIVERS ST
GREENWOOD, SC 29649-8513
Phone number: 864-227-1001
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Mailing Address
MR. TIM EDWARD STILL CACII
1612 RIVERS ST
GREENWOOD, SC 29649-8513
Phone number: 864-227-1001
Copy
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