Mack, Lawanda Shavonte

Mack, Lawanda Shavonte is an sole proprietor health care provider with primary practice located at 208 King St , Camden SC 29020-4720. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mack, Lawanda Shavonte can be contacted via phone (803) 432-6902.

Contact Information

Primary practice address
208 King St Camden SC 29020-4720
Phone: (803) 432-6902
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1942086566
LBN Legal business name Mack, Lawanda Shavonte
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2023
Last updated Sep 8th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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