Individual
LUCINDA TYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
148 OLD COURSE RD., SUMMERVILLE, SC 29485-6215
(843) 478-8962
(843) 636-7429
Mailing address
PO BOX 1941, SUMMERVILLE, SC 29484-1941
(843) 278-2275
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1041C0700X
SC
1041C0700X
Clinical Social Worker
Primary
6919
SC
Other
Enumeration date
09/22/2006
Last updated
10/31/2022
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