Individual
MRS. LASHANA STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3028 TRENT DR, FLORENCE, SC 29505-7418
(843) 409-8276
Mailing address
3028 TRENT DR, FLORENCE, SC 29505-7418
(843) 409-8276
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/10/2019
Last updated
11/10/2019
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