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1538688916
DESTINY FAITH DOUGLAS
WEST COLUMBIA, SC
NPI
1538688916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225800000X Recreation Therapist
Enumeration Date
2017-09-16
Last Update Date
2017-09-16
Business Address
Mrs. DESTINY FAITH DOUGLAS
2091 SAMS ELBOW RD
WEST COLUMBIA, SC 29170-1114
Phone number: 803-477-7136
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Mailing Address
Mrs. DESTINY FAITH DOUGLAS
328 JOSHUA TREE CT
BLYTHEWOOD, SC 29016-7203
Phone number:
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