Individual
MRS. LACRESHA BRUMFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 LAWHORN RD, BLYTHEWOOD, SC 29016-8974
(704) 537-1022
Mailing address
1427 VALANN FARM CT, ROCK HILL, SC 29732-2775
(803) 467-5723
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11415
SC
1041C0700X
Clinical Social Worker
Primary
C009525
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831596840
—
NC
05
—
1831596840
—
SC
Enumeration date
12/16/2014
Last updated
03/07/2016
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