Individual
DR. LESLEY AUDRA FOULKES-JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1180 COLUMBIA AVE, SUITE 201, IRMO, SC 29063-2852
(803) 407-5920
Mailing address
1180 COLUMBIA AVE, SUITE 201, IRMO, SC 29063-2852
(803) 407-5920
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
803
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0333
—
SC
Enumeration date
02/22/2007
Last updated
07/09/2007
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