Individual
JENNIFER L GOLDFARB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW CP
Contact information
Practice address
2270 ASHLEY CROSSING DR STE 170, CHARLESTON, SC 29414-5749
(843) 958-2555
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10735
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1612
—
SC
Enumeration date
03/01/2007
Last updated
05/26/2021
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