Individual
MS. LUCIE M. MOISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1278 N LAFAYETTE DR, SUMTER, SC 29150-2964
(803) 774-4500
(803) 774-4641
Mailing address
1278 N LAFAYETTE DR, SUMTER, SC 29150-2964
(803) 774-4500
(803) 774-4641
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4759
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7124
MEDICARE
SC
05
—
FQC048
—
SC
Enumeration date
06/27/2007
Last updated
05/10/2012
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