Lay-Up
NPI #1275033870 in Dalzell, South Carolina
Provider Information
- NPI Number
- 1275033870
- Entity Type
- Organization
- Organization Name
- Lay-Up
- Primary Specialty
- Counselor
- Enumeration Date
- Feb 20, 2018
- Last Updated
- Feb 20, 2018
Practice Location
- Address
- 5640 TEAKWOOD DR
- City
- Dalzell
- State
- South Carolina
- ZIP Code
- 29040-9652
- Phone
- (803) 236-2313
Authorized Official
- Name
- MARK SHAW, LMSW
- Title
- EXECUTIVE DIRECTOR
- Phone
- (803) 236-2313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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