Lawanda Shavonte Mack
NPI #1942086566 in Camden, South Carolina
Provider Information
- NPI Number
- 1942086566
- Entity Type
- Individual
- Name
- Lawanda Shavonte Mack
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Sep 8, 2023
- Last Updated
- Sep 8, 2023
Practice Location
- Address
- 208 KING ST
- City
- Camden
- State
- South Carolina
- ZIP Code
- 29020-4720
- Phone
- (803) 432-6902
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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