Individual
MR. JERRY LEE ALLRED JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW-CP
Contact information
Practice address
11 CROSSWELL DR, SUMTER, SC 29150-3611
(803) 803-6511
Mailing address
11 CROSSWELL DR, SUMTER, SC 29150-3611
(803) 651-1300
(803) 774-6442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6824
SC
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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