Individual
MS. JUDITH GREENFARB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW RYT
Contact information
Practice address
925 WAPPOO RD, CHARLESTON, SC 29407
(843) 619-7361
Mailing address
1801 TENNYSON ROW, MT PLEASANT, SC 29466-7134
(843) 327-0723
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6740
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
BLUE CROSS BLUE SHIELD
SC
Enumeration date
02/26/2016
Last updated
02/26/2016
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