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DR. REBECCA LACEY SORROW PHD

School >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1649495391

Individual Registrant:
DR. REBECCA LACEY SORROW PHD
Gender: F
Sole Proprietor

Location and contact information for practice:
107 GLEN COVE RD  STARR, SC 29684-9262 US
Tel: 864-224-4459  Fax: 864-332-1739

Contact information for business:
107 GLEN COVE RD  STARR, SC 29684-9262 US
Tel: 864-224-4459  Fax: 864-332-1739

Registration Information:
NPI: 1649495391
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TS0200XBehavioral Health & Social Service Providers
Psychologist
School
SC687

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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