Individual
MISS CHIQUITA LAVESA TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
337 NORTH EMERALD ROAD APT. GG6, GREENWOOD, SC 29646
(864) 389-1613
Mailing address
337 NORTH EMERALD ROAD APT. GG 6, GREENWOOD, SC 29646
(864) 389-1613
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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