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1932362696
KATHLEEN RANDALL
WEST COLUMBIA, SC
NPI
1932362696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: SC 6612)
Enumeration Date
2008-07-02
Last Update Date
2008-07-15
Business Address
-- KATHLEEN RANDALL LISW
2999 SUNSET BLVD SUITE 100
WEST COLUMBIA, SC 29169-3496
Phone number: 803-939-9699
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Mailing Address
-- KATHLEEN RANDALL LISW
6026 SYLVAN DR
COLUMBIA, SC 29206-1550
Phone number:
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