Individual
LYNNE RAVENEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W, L.I.S.W.
Contact information
Practice address
1012 ANNA KNAPP EXT, MT PLEASANT, SC 29464-5400
(843) 884-3070
(843) 884-0061
Mailing address
1012 ANNA KNAPP EXT, MT PLEASANT, SC 29464-5400
(843) 884-3070
(843) 884-0061
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2152
SC
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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