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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. TINA CELESTE OUTLAW, BSW,MSW, LISW-CP

Active Sole Proprietor

MS. TINA CELESTE OUTLAW, BSW,MSW, LISW-CP is a Clinical Social Worker healthcare provider located in LAMAR, South Carolina. NPI 1407911332 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · LAMAR, SC

Registration Details

NPI Number
1407911332
Provider Type
Individual
Gender
Female
NPI Issued
Dec 22, 2006 (19.628748387212 yrs)
Last Updated
Jan 18, 2023
License
5160 (SC)
Sole Proprietor
Yes

Practice Information

Address
2919 JEFFORDS RD N
OUTLAW'S VISION QUEST FARM, INC.
LAMAR, SC, 290699494
Browse SC providers · Browse ZIP 29069
Phone
8438570298
Primary Specialty
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.