Individual
LAURA M BALLENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
517 S COIT ST, FLORENCE, SC 29501-5220
(843) 407-1565
(843) 407-6748
Mailing address
517 S COIT ST, FLORENCE, SC 29501-5220
(843) 407-1565
(843) 407-6748
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5283
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376241
—
SC
Enumeration date
05/17/2007
Last updated
05/29/2013
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