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Individual

BRYANT A LAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
219 HUMAN SERVICES RD, CLINTON, SC 29325-7548
(864) 833-6500
(864) 833-6905
Mailing address
219 HUMAN SERVICES RD, CLINTON, SC 29325-7548
(864) 833-6500
(864) 833-6905

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
OTP-0035
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1972532705
SC
Enumeration date
05/07/2015
Last updated
05/07/2015
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