Individual
VICTORIA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
113 LINER DR, GREENWOOD, SC 29646-2311
(864) 941-8170
Mailing address
113 LINER DR, GREENWOOD, SC 29646-2311
(864) 941-8170
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16211
SC
Other
Enumeration date
08/23/2023
Last updated
12/15/2023
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