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General NPI Number Information
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NPI Number | 1427804095
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Entity Type | Organization
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Legal Business Name | LOWCOUNTRY EVALUATIONS, LLC
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Dates
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Enumeration Date | 04/25/2024
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 1400 OLD TROLLEY RD
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City | SUMMERVILLE
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State | SC
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Zip | 29485-5210
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Country | US
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Telephone | 843-614-9158
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Fax | 843-962-5508
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Provider Business Mailing Address
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Address Line | PO BOX 50045
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City | SUMMERVILLE
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State | SC
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Zip | 29485-0045
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Country | US
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Telephone | 843-614-9158
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Fax | 843-962-5508
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Authorized Official
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Title or Position | SCHOOL PSYCHOLOGIST/ OWNER
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Name | DR. LYNN SNIPES WOGAMON
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Credential | LPES
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Telephone | 843-614-9158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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