Individual
LOREL JEAN V HUMBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-2042
(803) 707-8397
Mailing address
2323 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-2042
(803) 707-8397
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC6583
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413093
—
SC
Enumeration date
07/12/2006
Last updated
12/08/2009
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