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1770684995
LACEY BROOKE JOHNSON
ANDERSON, SC
NPI
1770684995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 2993)
Enumeration Date
2006-09-26
Last Update Date
2007-07-08
Business Address
LACEY BROOKE JOHNSON MHS, OTR/L
1501 E GREENVILLE ST
ANDERSON, SC 29621-2004
Phone number: 864-226-8356
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Mailing Address
LACEY BROOKE JOHNSON MHS, OTR/L
205 TIARA CT
ANDERSON, SC 29625-2770
Phone number:
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