Individual
MS. LORI L THREADGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC II
Contact information
Practice address
204 N RAMAGE ST, SALUDA, SC 29138-1359
(864) 445-2968
Mailing address
204 N RAMAGE ST, SALUDA, SC 29138
(864) 445-2968
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/27/2013
Last updated
09/10/2013
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