Individual
MS. WANDA C LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCS
Contact information
Practice address
1293 PROFESSIONAL DR STE D, MYRTLE BEACH, SC 29577-5754
(843) 902-1504
(843) 939-9831
Mailing address
1293 PROFESSIONAL DR, SUITE D, MYRTLE BEACH, SC 29577
(843) 902-1504
(843) 939-9831
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3602
SC
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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