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1679216790
RAVEN SYMONE VAUGHT
COLUMBIA, SC
NPI
1679216790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: SC 15039)
Enumeration Date
2022-04-16
Last Update Date
2022-05-08
Business Address
RAVEN SYMONE VAUGHT LISW-CP
1330 TAYLOR STREET
COLUMBIA, SC 29220-5869
Phone number: 803-272-8055
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Mailing Address
RAVEN SYMONE VAUGHT LISW-CP
405 SANDRIDGE RD
LITTLE RIVER, SC 29566-7504
Phone number: 803-272-8055
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