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1992059612
LAURA STUCKEY
CAYCE, SC
NPI
1992059612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SC 000001)
Enumeration Date
2012-11-02
Last Update Date
2012-11-02
Business Address
-- LAURA STUCKEY
1300 12TH ST SUITE C
CAYCE, SC 29033-3204
Phone number: 803-252-7004
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Mailing Address
-- LAURA STUCKEY
1300 12TH ST SUITE C
CAYCE, SC 29033-3204
Phone number: 803-252-7004
Copy
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