Individual
MRS. TRACY D LANNERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
312 N BROOKS ST, MANNING, SC 29102-3212
(702) 686-8865
Mailing address
312 N BROOKS ST, MANNING, SC 29102-3212
(702) 686-8865
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12398
SC
1041C0700X
Clinical Social Worker
5679-C
NV
Other
Enumeration date
10/18/2007
Last updated
12/26/2019
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