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1013656628
ALICIA SHANTA SMALLS
COLUMBIA, SC
NPI
1013656628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: SC 7732)
Enumeration Date
2022-06-01
Last Update Date
2022-06-01
Business Address
ALICIA SHANTA SMALLS
1013 N KING ST APT 200B
COLUMBIA, SC 29223
Phone number: 803-312-5533
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Mailing Address
ALICIA SHANTA SMALLS
10120 TWO NOTCH RD STE 2 PMB 212
COLUMBIA, SC 29223-4395
Phone number: 803-312-5533
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