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1659423721
SANDRA R STADER
COLUMBIA, SC
NPI
1659423721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: SC 621)
Enumeration Date
2007-01-17
Last Update Date
2009-03-10
Business Address
-- SANDRA R STADER PhD
1800 COLONIAL DR
COLUMBIA, SC 29203-6827
Phone number: 803-898-8405
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Mailing Address
-- SANDRA R STADER PhD
PO BOX 485
COLUMBIA, SC 29202-0485
Phone number: 803-898-8405
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