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Individual

JENNIFER LOADHOLT MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
204 NORTH RAILROAD AVENUE, RIDGELAND, SC 29936
(843) 645-7700
Mailing address
PO BOX 1343, RIDGELAND, SC 29936-2623
(843) 645-7700

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10158
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10158
DEPARTMENT OF LABOR, LICENSING AND REGULATION BOARD OF SOCIAL WORK EXAMINERS
SC
Enumeration date
01/09/2013
Last updated
01/09/2013
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