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General NPI Number Information
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NPI Number | 1598729006
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Entity Type | Organization
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Legal Business Name | GRETTA P. LAWSON, M.ED., P.A.
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1200 WOODRUFF RD A-3
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City | GREENVILLE
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State | SC
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Zip | 29607-5730
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Country | US
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Telephone | 864-297-9999
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Fax | 864-288-7937
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Provider Business Mailing Address
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Address Line | 1200 WOODRUFF RD A-3
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City | GREENVILLE
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State | SC
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Zip | 29607-5730
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Country | US
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Telephone | 864-297-9999
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Fax | 864-288-7937
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Authorized Official
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Title or Position | COUNSELOR
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Name | MRS. GRETTA P. LAWSON
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Credential | LPC/LMFT
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Telephone | 864-297-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1848/1849
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License Number State | SC
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