Individual
MRS. LAURI MAZE-DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
130 BEN CASEY DRIVE, STE 102, FORT MILL, SC 29708-6567
(803) 386-3064
(866) 591-1741
Mailing address
44429 ORIOLE DR, UNIT 101, INDIAN LAND, SC 29707-5947
(803) 431-0734
(866) 591-1741
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
4345
SC
Other
Enumeration date
12/03/2010
Last updated
06/10/2011
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