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Individual

ROOSEVELT DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1135 GREGG HWY NW, AIKEN, SC 29801-6341
(803) 641-7700
(803) 641-7709
Mailing address
2414 BULL ST, COLUMBIA, SC 29201-1906
(803) 898-2461

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SC

Other

Enumeration date
11/29/2018
Last updated
11/29/2018
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