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Individual

WARD LASSOE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCI

Contact information

Practice address
27 GAMECOCK AVE, SUITE 202, CHARLESTON, SC 29407-3398
(843) 883-4104
Mailing address
27 GAMECOCK AVE, SUITE 202, CHARLESTON, SC 29407-3398
(843) 883-4104

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5647
SC

Other

Enumeration date
04/21/2013
Last updated
04/21/2013
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