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1336498302
LACEY DIANE BAKER
WEST COLUMBIA, SC
NPI
1336498302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: SC 10159)
Enumeration Date
2012-09-05
Last Update Date
2012-09-05
Business Address
LACEY DIANE BAKER LMSW, VSP
1615 AUGUSTA RD
WEST COLUMBIA, SC 29169-5629
Phone number: 803-791-1511
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Mailing Address
LACEY DIANE BAKER LMSW, VSP
107 HUGER ST
COLUMBIA, SC 29201-4320
Phone number: 864-431-0089
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