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1235559402
SOCORRO WHITE
COLUMBIA, SC
NPI
1235559402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: SC 570510076)
Enumeration Date
2014-04-25
Last Update Date
2014-04-25
Business Address
-- SOCORRO WHITE
2711 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-726-9300
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Mailing Address
-- SOCORRO WHITE
2711 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-726-9300
Copy
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