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1669128195
LACY MARIE DEITRICK
COLUMBIA, SC
NPI
1669128195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2022-02-23
Last Update Date
2022-02-23
Business Address
Dr. LACY MARIE DEITRICK OTD, OTR/L, CFSC
4500 STUART ST
COLUMBIA, SC 29207-5700
Phone number: 803-751-2160
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Mailing Address
Dr. LACY MARIE DEITRICK OTD, OTR/L, CFSC
124 WOODS EDGE CT
WEST LAFAYETTE, IN 47906-5725
Phone number: 765-427-8697
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