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1487991832
VIOLA DELOIS LAWRENCE
CONWAY, SC
NPI
1487991832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SC 1104017)
Enumeration Date
2013-01-04
Last Update Date
2013-01-04
Business Address
-- VIOLA DELOIS LAWRENCE MS, CAC-I
1908 RACEPATH AVE
CONWAY, SC 29527-5453
Phone number: 843-457-5553
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Mailing Address
-- VIOLA DELOIS LAWRENCE MS, CAC-I
1908 RACEPATH AVE
CONWAY, SC 29527-5453
Phone number: 843-457-5553
Copy
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