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1104661750
LAVONTI BROUGHTON
CHARLESTON, SC
NPI
1104661750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2024-06-26
Last Update Date
2024-06-26
Business Address
LAVONTI BROUGHTON
109 BEE ST
CHARLESTON, SC 29401-5703
Phone number: 843-577-5011
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Mailing Address
LAVONTI BROUGHTON
8240 WINDSOR HILL BLVD APT 13205
NORTH CHARLESTON, SC 29420-8394
Phone number:
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