Individual
LISA ROXANNE WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1035 CHERAW ST, BENNETTSVILLE, SC 29512-2422
(843) 454-0841
(843) 454-0635
Mailing address
PO BOX 918, BENNETTSVILLE, SC 29512-0918
(843) 454-0841
(843) 454-0635
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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