Individual
LINDA ANN JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC, CDMS
Contact information
Practice address
136 JEFFERSON ST, ORANGEBURG, SC 29115-8447
(843) 921-8602
Mailing address
POST OFFICE BOX 8787, COLUMBIA, SC 29202
(843) 537-4440
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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