Individual
MS. LAKWANZA SHINELLE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QP
Contact information
Practice address
3662 HIGHWAY 9 W, WALLACE, SC 29596-8650
(843) 537-6471
Mailing address
3662 HIGHWAY 9 W, WALLACE, SC 29596-8650
(843) 537-6471
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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