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1528638269
SAMANTHA MOGABGAB
COLUMBIA, SC
NPI
1528638269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: SC 7705)
Enumeration Date
2021-06-25
Last Update Date
2021-07-05
Business Address
SAMANTHA MOGABGAB
2309 DEVINE ST
COLUMBIA, SC 29205-2422
Phone number: 980-621-4523
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Mailing Address
SAMANTHA MOGABGAB
2309 DEVINE ST
COLUMBIA, SC 29205-2422
Phone number:
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