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Cognitive and Behavioral

Rock Hill, South Carolina

Provider NPI: 1346410446

Provider Information:
Gender: M
Sole Proprietor

Practice Location:
Tel: 803-328-0030  Fax: 803-980-7276

Business Mailing Address:
PO BOX 37567  ROCK HILL, SC 29732 US
Tel: 803-328-0030  Fax: 803-980-7276

Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y103TB0200XBehavioral Health & Social Service Providers
Cognitive & Behavioral
N103TC1900XBehavioral Health & Social Service Providers


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