Individual
LAURETTE FOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
815 PRINCE ST, GEORGETOWN, SC 29440-3509
(843) 293-3371
Mailing address
815 PRINCE ST, GEORGETOWN, SC 29440-3509
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9583
SC
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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