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Individual

SOPHIA KIMIKO OGAWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
101 CHESTERFIELD CT, EASLEY, SC 29640-7137
(864) 855-2913
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
SC

Other

Enumeration date
09/23/2025
Last updated
09/23/2025
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