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1578802252
LANISHA STOVER BLAIR
LANCASTER, SC
NPI
1578802252
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Former Name
LANISHA STOVER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2013-01-31
Last Update Date
2013-01-31
Business Address
LANISHA STOVER BLAIR CPP
114 S MAIN ST
LANCASTER, SC 29720-2442
Phone number: 803-285-6911
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Mailing Address
LANISHA STOVER BLAIR CPP
PO BOX 1627
LANCASTER, SC 29721-1627
Phone number: 803-285-6911
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