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MR. MACK MILES WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1330 TAYLOT AT MARION ST, PALMETTO BAPTIST COUNSELING CENTER, COLUMBIA, SC 29201
(803) 296-2548
(803) 296-2525
Mailing address
1321 LADY STREET, FIRST FLOOR, PALMETTO HEALTH, COLUMBIA, SC 29201
(803) 296-2548
(803) 296-2525

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1016
SC

Other

Enumeration date
07/25/2006
Last updated
07/08/2007
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