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1316665938
SADATREYA TANESHA MOULTRIE
COLUMBIA, SC
NPI
1316665938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: SC 7923)
Enumeration Date
2022-08-19
Last Update Date
2022-08-19
Business Address
SADATREYA TANESHA MOULTRIE LPC-A
2715 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-898-0164
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Mailing Address
SADATREYA TANESHA MOULTRIE LPC-A
2715 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-898-0164
Copy
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