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Individual

ASHLEY R JETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
187 W BROAD ST, SPARTANBURG, SC 29306-3234
(864) 582-7588
Mailing address
187 W BROAD ST, SPARTANBURG, SC 29306-3234
(864) 707-2823
(864) 582-0431

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
03/29/2019
Last updated
03/29/2019
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