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1114687035
ANTOINETTE SHANAE NIPPER
WEST COLUMBIA, SC
NPI
1114687035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: SC 14879)
Enumeration Date
2021-12-20
Last Update Date
2021-12-20
Business Address
ANTOINETTE SHANAE NIPPER LISW-CP
105 INDIGO PLACE CT
WEST COLUMBIA, SC 29172-2698
Phone number: 803-974-9415
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Mailing Address
ANTOINETTE SHANAE NIPPER LISW-CP
105 INDIGO PLACE CT
WEST COLUMBIA, SC 29172-2698
Phone number: 803-974-9415
Copy
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