Individual
LAQUILE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 ANGUS DR, COLUMBIA, SC 29223-7758
(803) 361-3401
Mailing address
312 ANGUS DR, COLUMBIA, SC 29223-7758
(803) 361-3401
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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