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1356402960
LEWIS RANDOLPH WAID
MOUNT PLEASANT, SC
NPI
1356402960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: SC 333)
Enumeration Date
2006-12-13
Last Update Date
2007-07-08
Business Address
DR. LEWIS RANDOLPH WAID PH.D.
222 W COLEMAN BLVD
MOUNT PLEASANT, SC 29464-3494
Phone number: 843-881-2778
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Mailing Address
DR. LEWIS RANDOLPH WAID PH.D.
222 W COLEMAN BLVD
MOUNT PLEASANT, SC 29464-3494
Phone number: 843-881-2778
Copy
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