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1871625590
LISA ANNE SOUTHWORTH
COLUMBIA, SC
NPI
1871625590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: SC 3419)
Enumeration Date
2007-03-09
Last Update Date
2022-03-31
Business Address
Ms. LISA ANNE SOUTHWORTH LPC
1709 LAUREL ST.
COLUMBIA, SC 29201-2624
Phone number: 803-765-0700
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Mailing Address
Ms. LISA ANNE SOUTHWORTH LPC
1709 LAUREL ST.
COLUMBIA, SC 29201-2624
Phone number: 803-765-0700
Copy
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