Individual
MRS. TATYANA GEVON LANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW,LCSWA
Contact information
Practice address
1905 J N PEASE PL STE 103, CHARLOTTE, NC 28262-4509
(704) 910-0136
Mailing address
2411 N OAK ST STE 301L, MYRTLE BEACH, SC 29577-3165
(843) 687-5438
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16731
SC
1041C0700X
Clinical Social Worker
P022900
NC
Other
Enumeration date
03/27/2024
Last updated
08/20/2025
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