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Individual

MRS. CAROL LASUANE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
239 CHARLES TOWNE CT, COLUMBIA, SC 29209-3075
(803) 476-2108
(803) 296-3446
Mailing address
239 CHARLES TOWNE CT, COLUMBIA, SC 29209-3075
(803) 476-2108
(803) 296-3446

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
SC

Other

Enumeration date
01/03/2013
Last updated
01/03/2013
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