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Individual

RAKEYTA REAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SSP, LPES

Contact information

Practice address
515 E. LIBERTY STREET, MARION, SC 29571
(843) 423-1811
Mailing address
7625 MAIN ST, GROVETOWN, GA 30813-1217

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
268451
SC

Other

Enumeration date
08/19/2014
Last updated
05/08/2025
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