LANISHA STOVER BLAIR

LANCASTER, SC
NPI1578802252
Former NameLANISHA STOVER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-01-31
Last Update Date2013-01-31
Business Address
-- LANISHA STOVER BLAIR CPP
114 S MAIN ST
LANCASTER, SC 29720-2442
Phone number: 803-285-6911
Mailing Address
-- LANISHA STOVER BLAIR CPP
PO BOX 1627
LANCASTER, SC 29721-1627
Phone number: 803-285-6911
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