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1609625201
KANEISHA BLACK
COLUMBIA, SC
NPI
1609625201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
Enumeration Date
2024-05-15
Last Update Date
2024-05-15
Business Address
KANEISHA BLACK Psy.D
710 WILDLIFE LN
COLUMBIA, SC 29209-3464
Phone number: 704-763-7479
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Mailing Address
KANEISHA BLACK Psy.D
710 WILDLIFE LN
COLUMBIA, SC 29209-3464
Phone number: 704-763-7479
Copy
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