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1255779518
ELIZABETH LOIS ELIJAH
IRMO, SC
NPI
1255779518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist School
Enumeration Date
2013-06-10
Last Update Date
2013-06-10
Business Address
ELIZABETH LOIS ELIJAH
1040 BICKLEY RD
IRMO, SC 29063-9523
Phone number: 803-476-4526
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Mailing Address
ELIZABETH LOIS ELIJAH
1040 BICKLEY RD
IRMO, SC 29063-9523
Phone number: 803-476-4526
Copy
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