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1376912741
DAQUANA MACK
COLUMBIA, SC
NPI
1376912741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: SC 11334)
Enumeration Date
2015-09-16
Last Update Date
2018-10-30
Business Address
DAQUANA MACK LISW-CP
300 SPARTAN DR
COLUMBIA, SC 29212-3622
Phone number: 803-308-1762
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Mailing Address
DAQUANA MACK LISW-CP
300 SPARTAN DR
COLUMBIA, SC 29212-3622
Phone number: 803-308-1762
Copy
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