TERESA LANE

MYRTLE BEACH, SC
NPI1801959564
Former NameTERESA LIPSCOMB
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: SC  1744)
Enumeration Date2006-12-17
Last Update Date2019-08-21
Business Address
TERESA LANE LISW AP CP
1107 48TH AVE N STE 310F
MYRTLE BEACH, SC 29577-5443
Phone number: 843-457-1615
Mailing Address
TERESA LANE LISW AP CP
2919 MOSS BRIDGE LN
MYRTLE BEACH, SC 29579-3593
Phone number: 843-457-1615
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