Individual
MS. LORETTA JENKINS SUMTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1005 JEFFERSON AVENUE EXT BLDG 786, GOOSE CREEK, SC 29445-6049
(843) 764-7418
(843) 764-7529
Mailing address
1005 JEFFERSON AVENUE EXT BLDG 786, GOOSE CREEK, SC 29445-6049
(843) 764-7418
(843) 764-7529
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
3574
SC
1041C0700X
Clinical Social Worker
Primary
6801077438
MI
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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