Individual
LASHAUNDA CAROLE SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515B CAMSON RD, ANDERSON, SC 29625-1407
(864) 260-2237
Mailing address
3712 REFUGE RD, CENTRAL, SC 29630-9624
(864) 650-3895
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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