LACEY DIANE BAKER

WEST COLUMBIA, SC
NPI1336498302
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: SC  10159)
Enumeration Date2012-09-05
Last Update Date2012-09-05
Business Address
-- LACEY DIANE BAKER LMSW, VSP
1615 AUGUSTA RD
WEST COLUMBIA, SC 29169-5629
Phone number: 803-791-1511
Mailing Address
-- LACEY DIANE BAKER LMSW, VSP
107 HUGER ST
COLUMBIA, SC 29201-4320
Phone number: 864-431-0089
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