Individual
LATORIA MONIEK LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A, NBCC
Contact information
Practice address
441 WILLIE HODGE RD, MULLINS, SC 29574-6142
(843) 250-4049
Mailing address
441 WILLIE HODGE RD, MULLINS, SC 29574-6142
(843) 250-4049
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8278
SC
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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