Individual
STEVEN LAWSON CLUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2108 GREENE ST # 5495, COLUMBIA, SC 29205-1641
(803) 681-0816
(803) 627-8961
Mailing address
PO BOX 5495, COLUMBIA, SC 29250-5495
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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