MS. Tina Celeste Outlaw, BSW,MSW, LISW-CP
NPI #1407911332 in Lamar, South Carolina
Provider Information
- NPI Number
- 1407911332
- Entity Type
- Individual
- Name
- MS. Tina Celeste Outlaw, BSW,MSW, LISW-CP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- BSW,MSW, LISW-CP
- Enumeration Date
- Dec 22, 2006
- Last Updated
- Jan 18, 2023
Practice Location
- Address
- 2919 JEFFORDS RD N
- Address 2
- OUTLAW'S VISION QUEST FARM, INC.
- City
- Lamar
- State
- South Carolina
- ZIP Code
- 29069-9494
- Phone
- (843) 857-0298
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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