Individual
LASHAWNDA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 PINEVIEW DR, COLUMBIA, SC 29209-5085
(803) 783-0303
Mailing address
194 COTTAGE LAKE WAY, COLUMBIA, SC 29204-0000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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