Loretta W. Green LMSW

NPI 1194003335 - Social Worker - 104100000X

NPI Details
NPI 1194003335
Gender Female
Enumeration Date 07/21/2011
Last Updated 07/21/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
681 BROUGHTON ST
ORANGEBURG SC, 29115-6621, US
Phone (803) 290-3155
Fax
Business Location
681 BROUGHTON ST
ORANGEBURG SC, 29115-6621, US
Phone (803) 290-3155
Fax
Toxanomy
Taxonomy Code 104100000X
License State South Carolina
License Number 4632
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According to our database, Mrs. Loretta W. Green LMSW NPI is 1194003335, taxonomy code is 104100000X and license number is 4632, license state is located at South Carolina. Loretta W. Green LMSW physically located at 681 Broughton St, Orangeburg SC, 29115-6621. NPI Number Loretta W. Green LMSW has the Individual type.

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1194003335 NPI number is provided on an as is basis without warranty of any kind. 1194003335 is maintained by the National Plan & Provider Enumeration System. The contents of Loretta W. Green LMSW are for informational purposes only.