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1750397378
LEAH JOHNSON LAKE
COLUMBIA, SC
NPI
1750397378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: SC 51)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
MS. LEAH JOHNSON LAKE MED
605 CAPITOL PLACE
COLUMBIA, SC 29205
Phone number: 803-926-2607
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Mailing Address
MS. LEAH JOHNSON LAKE MED
605 CAPITOL PLACE
COLUMBIA, SC 29205
Phone number: 803-926-2607
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