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1215395744
STACEY KHALIFA
WEST COLUMBIA, SC
NPI
1215395744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: SC 8744)
Enumeration Date
2016-01-28
Last Update Date
2018-08-08
Business Address
STACEY KHALIFA LISW-CP
160 MEDICAL CIR FL 1
WEST COLUMBIA, SC 29169
Phone number: 803-796-6811
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Mailing Address
STACEY KHALIFA LISW-CP
6439 GARNERS FERRY RD
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
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