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Individual

MRS. LOTONDA M MCMULLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
114 BARNWELL, COLUMBIA, SC 29201-1627
(803) 665-8164
Mailing address
116 ANGEL GARDEN WAY, COLUMBIA, SC 29223-7788
(803) 665-8164

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101Y00000X
SD

Other

Enumeration date
11/30/2006
Last updated
05/09/2011
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