LONNIE LEWIS WADE

BENNETTSVILLE, SC
NPI1992160980
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-12-18
Last Update Date2019-08-08
Business Address
LONNIE LEWIS WADE MA
1035 CHERAW STREET
BENNETTSVILLE, SC 29512
Phone number: 843-454-0841
Mailing Address
LONNIE LEWIS WADE MA
PO BOX 918
BENNETTSVILLE, SC 29512
Phone number: 843-454-0841