Individual
GREGORY LANE DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
31 HICKORY FOREST DR, HILTON HEAD, SC 29926-2676
(610) 883-3286
Mailing address
31 HICKORY FOREST DR, HILTON HEAD, SC 29926-2676
(610) 883-3286
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6094
SC
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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