Individual
MS. LAVONDA L SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 241-0100
Mailing address
124 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 241-0100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5711
SC
Other
Enumeration date
05/18/2012
Last updated
12/10/2014
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