Individual
DR. LIGIA LATIFF-BOLET
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2414 BULL ST, COLUMBIA, SC 29201-1906
(803) 898-8619
Mailing address
112 HILL LAKE DR, LEXINGTON, SC 29072-9680
(803) 808-5667
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001965
GA
Other
Enumeration date
09/29/2005
Last updated
07/08/2007
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