Provider First Line Business Practice Location Address:
715 9TH ST
Provider Second Line Business Practice Location Address:
LEXINGTON COUNTY SCHOOL DISTRICT TWO SPECIAL SERVICES
Provider Business Practice Location Address City Name:
WEST COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29169-7169
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-796-4708
Provider Business Practice Location Address Fax Number:
803-739-4063
Provider Enumeration Date:
06/21/2006