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1952139420
TALIAH I GODBOLT
LEXINGTON, SC
NPI
1952139420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-07-25
Last Update Date
2024-07-25
Business Address
TALIAH I GODBOLT
108 PALMETTO PARK BLVD STE D
LEXINGTON, SC 29072-7969
Phone number: 803-996-1500
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Mailing Address
TALIAH I GODBOLT
108 PALMETTO PARK BLVD STE D
LEXINGTON, SC 29072-7969
Phone number: 803-996-1500
Copy
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