Individual
LARESSA H JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4805 ANDERSON ST, COLUMBIA, SC 29203-4203
(803) 201-7323
Mailing address
4805 ANDERSON ST, COLUMBIA, SC 29203-4203
(803) 201-7323
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
0236
SC
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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