Individual
TAMEKA D LYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CAC-P
Contact information
Practice address
108 E CHURCH ST, BISHOPVILLE, SC 29010-1726
(803) 484-6025
Mailing address
108 E CHURCH ST, BISHOPVILLE, SC 29010-1726
(803) 484-6025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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