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1699130559
JO ANN LAVENDER
COLUMBIA, SC
NPI
1699130559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: SC 5859)
Enumeration Date
2015-12-19
Last Update Date
2015-12-19
Business Address
-- JO ANN LAVENDER MSP
3001 BEECHAVEN RD
COLUMBIA, SC 29204-2701
Phone number: 803-782-4363
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Mailing Address
-- JO ANN LAVENDER MSP
811 FOREST PARK RD
COLUMBIA, SC 29209-2581
Phone number: 843-858-4456
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