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1003527409
SHOOTING STARS EARLY INTERVENTION LLC
LUGOFF, SC
NPI
1003527409
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Entity Type
Organization
Authorized Contact
MARIA NELSON
Owner
803-420-8492
Organization Subpart ?
No
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2022-12-07
Last Update Date
2022-12-07
Business Address
SHOOTING STARS EARLY INTERVENTION LLC
1860 SPRINGVALE RD
LUGOFF, SC 29078-9788
Phone number: 803-420-8492
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Mailing Address
SHOOTING STARS EARLY INTERVENTION LLC
1860 SPRINGVALE RD
LUGOFF, SC 29078-9788
Phone number: 803-420-8492
Copy