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Individual

MRS. LARA MARIE STAWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1612 RIVERS ST, GREENWOOD, SC 29649-8513
(864) 227-1001
Mailing address
1612 RIVERS ST, GREENWOOD, SC 29649-8513
(864) 227-1001
(864) 227-3619

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
05/11/2018
Last updated
05/11/2018
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