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DR. REBECCA LACEY SORROW PHD
School >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1649495391
Individual Registrant:DR. REBECCA LACEY SORROW PHD
Gender: F
Sole Proprietor
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
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
Tel: 864-224-4459 Fax: 864-332-1739
Registration Information:
NPI: 1649495391
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TS0200X | Behavioral Health & Social Service Providers Psychologist School | SC | 687 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
