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Organization
JUMP START BRIDGING GAPS LLC
Active
Organization
JUMP START BRIDGING GAPS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNIE WORTHY (CEO)
(803) 385-7169
Entity
Organization
Contact information
Practice address
512 COLUMBIA ST, CHESTER, SC 29706
(803) 385-7169
Mailing address
3255 RICKS RD, CHESTER, SC 29706-6402
(803) 385-7169
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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