Provider First Line Business Practice Location Address:
2705 LEAPHART RD
Provider Second Line Business Practice Location Address:
AGAPE THERAPY
Provider Business Practice Location Address City Name:
WEST COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29169-3335
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-926-5119
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/29/2006