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Organization
COMMUNITY CARE OF SOUTH CAROLINA
Active
Organization
COMMUNITY CARE OF SOUTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKESHA SHANAE STARKS LMSW (EXECUTIVE DIRECTOR)
(864) 990-7677
Entity
Organization
Contact information
Practice address
434 CANEWOOD PL, MAULDIN, SC 29662-3230
(864) 346-2044
Mailing address
434 CANEWOOD PL, MAULDIN, SC 29662-3230
(864) 346-2044
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
8810
SC
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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