Provider First Line Business Practice Location Address:
110 CLINTON SCHOOL RD
Provider Second Line Business Practice Location Address:
CLINTON ELEM SCHOOL
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-285-5395
Provider Business Practice Location Address Fax Number:
803-283-3998
Provider Enumeration Date:
02/01/2008