Individual
MS. LAREECIA MANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 DUKE ST # 270, BEAUFORT, SC 29902-4403
(843) 255-6000
Mailing address
PO BOX 1228, BEAUFORT, SC 29901-1228
(843) 255-6010
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
SC
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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