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1699119420
ELASHA LAVONE LEARY
CONWAY, SC
NPI
1699119420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-04-23
Last Update Date
2013-04-23
Business Address
-- ELASHA LAVONE LEARY MA
8377 HUNTINGTON CT
CONWAY, SC 29527-7989
Phone number: 180-319-9523
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Mailing Address
-- ELASHA LAVONE LEARY MA
PO BOX 1376
CONWAY, SC 29528-1376
Phone number: 180-319-9523
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