Most Relevant Information
Provider Data
| NPI Number: | 1003309394 |
| Provider Name: | LATOYA LAWRENCE |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/11/2018 |
| Last Updated: | 06/11/2018 |
Provider Practice Location
2404 WISE RD
CONWAY
SC
295265521
Practice Location Phone/Fax
| Phone: | 8433658884 |
| Fax: |
Provider Mailing Location
2404 WISE RD
CONWAY
SC
295265521
Provider Mailing Phone/Fax
| Phone: | 8433658884 |
| Fax: |