Individual
ELIZABETH LOIS ELIJAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 BICKLEY RD, IRMO, SC 29063-9523
(803) 476-4526
(803) 476-4520
Mailing address
1040 BICKLEY RD, IRMO, SC 29063-9523
(803) 476-4526
(803) 476-4520
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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