Individual
LAURA LEE VAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
975 W FARIS RD, GREENVILLE, SC 29605-4241
(864) 729-8330
Mailing address
975 W FARIS RD, GREENVILLE, SC 29605-4241
(864) 729-8330
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
204
SC
1041C0700X
Clinical Social Worker
Primary
204
SC
Other
Enumeration date
05/16/2019
Last updated
04/27/2020
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