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1073299954
NICOLETTE D BURNETTE
COLUMBIA, SC
NPI
1073299954
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Former Name
NICOLETTE D BOOKERT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: SC 17221)
Enumeration Date
2023-06-26
Last Update Date
2024-10-22
Business Address
Mrs. NICOLETTE D BURNETTE LISW
2117 GERVAIS ST
COLUMBIA, SC 29204
Phone number: 803-744-0540
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Mailing Address
Mrs. NICOLETTE D BURNETTE LISW
PO BOX 8532
COLUMBIA, SC 29202
Phone number: 803-238-6856
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