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1255067948
DOMINIQUE LEE FORD
CHARLESTON, SC
NPI
1255067948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: SC 12693)
Enumeration Date
2022-07-26
Last Update Date
2022-07-26
Business Address
DOMINIQUE LEE FORD
109 BEE ST
CHARLESTON, SC 29401-5703
Phone number: 843-345-6388
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Mailing Address
DOMINIQUE LEE FORD
152 CHASTE TREE CIR
GOOSE CREEK, SC 29445-7371
Phone number: 843-345-6388
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