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1003371956
BODEQUIA SIMON
LEXINGTON, SC
NPI
1003371956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2019-02-05
Last Update Date
2019-02-05
Business Address
MISS BODEQUIA SIMON LMSW
108 PALMETTO PARK BLVD STE D
LEXINGTON, SC 29072-7969
Phone number: 803-996-1500
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Mailing Address
MISS BODEQUIA SIMON LMSW
500 HARBISON BLVD APT 1315
COLUMBIA, SC 29212-1726
Phone number: 803-447-2401
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