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1508564303
DESTINY TIERRA WINGATE
LEXINGTON, SC
NPI
1508564303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-02-21
Last Update Date
2023-05-01
Business Address
DESTINY TIERRA WINGATE
108 PALMETTO PARK BLVD
LEXINGTON, SC 29072-7968
Phone number: 803-996-1500
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Mailing Address
DESTINY TIERRA WINGATE
33 LYNE COVE CT
IRMO, SC 29063-2075
Phone number: 843-229-6272
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