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1871643056
REGINA LOUISE QUALLS
COLUMBIA, SC
NPI
1871643056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
-- REGINA LOUISE QUALLS BA
1800 COLONIAL DR
COLUMBIA, SC 29203-6827
Phone number: 803-898-9825
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Mailing Address
-- REGINA LOUISE QUALLS BA
1821 HARBISON STATION CIR
COLUMBIA, SC 29212-1687
Phone number: 803-477-3092
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