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DR. LYNN MARIE FREDERICK LISW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1760762462

Individual Registrant:
DR. LYNN MARIE FREDERICK LISW
Gender: F
Sole Proprietor

Location and contact information for practice:
421 GARDNER BLVD.  HOLLY HILL, SC 29059-0100 US
Tel: 803-496-9000  Fax: 803-496-9009

Contact information for business:
201 BOTANY BAY CT  CHARLESTON, SC 29418-3046 US
Tel: 843-297-1910  Fax: --

Registration Information:
NPI: 1760762462
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
SC3346

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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