Individual
LAUREN A LANZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LISW-CP
Contact information
Practice address
224 THORNCREST DR, PAULINE, SC 29374-1626
(864) 590-0458
Mailing address
35 MICHELL DR, TAYLORS, SC 29687-5339
(540) 892-6981
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32781
SC
1041C0700X
Clinical Social Worker
13443
SC
Other
Enumeration date
09/27/2018
Last updated
01/20/2021
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