Individual
LAURIE FALLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CACII
Contact information
Practice address
1612 RIVERS ST, GREENWOOD, SC 29649-8513
(864) 227-1001
(864) 227-3619
Mailing address
1612 RIVERS STREET, PO BOX 50209, GREENWOOD, SC 29649
(864) 227-1001
(864) 227-3619
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1508056
SC
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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