Individual
LASHUAN E GARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 DUFFIE CT, COLUMBIA, SC 29229-9553
(480) 261-6673
Mailing address
109 BRANCH HILL DR, ELGIN, SC 29045-9382
(602) 559-7171
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
17688
SC
Other
Enumeration date
05/05/2023
Last updated
05/16/2025
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