Individual
LISA GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 3RD ST, CHERAW, SC 29520-2648
(843) 537-0961
Mailing address
212 3RD ST, CHERAW, SC 29520-2648
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3077
SC
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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