Individual
CONSTANCE LAWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC
Contact information
Practice address
326 MYRTLE CROSSING DR STE 300, STATESBORO, GA 30458-4689
(912) 243-9310
(912) 243-9311
Mailing address
326 MYRTLE CROSSING DR STE 300, STATESBORO, GA 30458-4689
(912) 243-9310
(912) 243-9311
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1660R
GA
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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