Individual
DR. LYNETTE REGINA WIGFALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD, LPC
Contact information
Practice address
520 TOOMERVILLE LOOP, HARDEEVILLE, SC 29927-7411
(843) 816-0404
(843) 757-7510
Mailing address
520 TOOMERVILLE LOOP, HARDEEVILLE, SC 29927-7411
(843) 816-0404
(843) 757-7510
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6261
SC
101YP2500X
Professional Counselor
LPC005241
GA
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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