Individual
LAURYN ELLEN BERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
490 MARTELLO DR, CHARLESTON, SC 29412-2638
(843) 876-1139
Mailing address
PO BOX 602108, CHARLOTTE, NC 28260-2108
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11521
SC
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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