Individual
LISETH RAYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1368 PORCHERS BLUFF RD, MOUNT PLEASANT, SC 29466-8905
(843) 384-4104
Mailing address
PO BOX 554, MOUNT PLEASANT, SC 29465-0554
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
282077
SC
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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