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1477143907
KHADIJAH LEWIS
GREENVILLE, SC
NPI
1477143907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: SC 21-152280)
Enumeration Date
2021-01-19
Last Update Date
2021-01-19
Business Address
KHADIJAH LEWIS
113 WHITSETT ST
GREENVILLE, SC 29601-3138
Phone number: 864-520-1614
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Mailing Address
KHADIJAH LEWIS
113 WHITSETT ST
GREENVILLE, SC 29601-3138
Phone number:
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