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1376372763
TACQUETTA MYRTELLE GIBSON
COLUMBIA, SC
NPI
1376372763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: SC 15842)
Enumeration Date
2024-08-01
Last Update Date
2024-08-01
Business Address
TACQUETTA MYRTELLE GIBSON
6439 GARNERS FERRY RD
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
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Mailing Address
TACQUETTA MYRTELLE GIBSON
628 STONO DR
BLYTHEWOOD, SC 29016-7339
Phone number: 803-873-8263
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