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1659471977
DEBORAH JEANNE PETKOVSEK REYES
COLUMBIA, SC
NPI
1659471977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: SC 1038)
Enumeration Date
2006-09-25
Last Update Date
2009-03-24
Business Address
Dr. DEBORAH JEANNE PETKOVSEK REYES Ph.D.
4900 BROAD RIVER RD SCDJJ -BWD CAMPUS
COLUMBIA, SC 29212-3531
Phone number: 803-896-9053
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Mailing Address
Dr. DEBORAH JEANNE PETKOVSEK REYES Ph.D.
2906 BURNEY DR
COLUMBIA, SC 29205-3418
Phone number: 803-476-6799
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