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1699016741
STACI JILL QUAN
COLUMBIA, SC
NPI
1699016741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: SC 5811)
Enumeration Date
2013-03-13
Last Update Date
2014-12-15
Business Address
STACI JILL QUAN M.ED. M.A. LPC
2113 ADAMS GROVE STE 110
COLUMBIA, SC 29203
Phone number: 803-256-1737
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Mailing Address
STACI JILL QUAN M.ED. M.A. LPC
1809 HEYWARD ST.
COLUMBIA, SC 29205
Phone number: 803-414-5591
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