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Individual

MS. ADA M LEGREE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
2319 ST MATTHEWS ROAD, ORANGEBURG, SC 29118
(803) 536-1571
(803) 534-1693
Mailing address
2319 ST MATTHEWS ROAD, ORANGEBURG AREA MENTAL HEALTH CTR, ORANGEBURG, SC 29118
(803) 536-1571
(803) 534-1693

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3373
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3373
DEPT OF LABOR
SC
05
413093
SC
Enumeration date
07/10/2006
Last updated
07/08/2007
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