Legree, Ada M

Legree, Ada M is an individual health care provider with primary practice located at 2319 St Matthews Road , Orangeburg SC 29118. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Legree, Ada M can be contacted via phone (803) 536-1571.

Contact Information

Primary practice address
2319 St Matthews Road Orangeburg SC 29118
Phone: (803) 536-1571
Fax: (803) 534-1693
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 3373 South Carolina

Profile Details

NPI number 1033143896
LBN Legal business name Legree, Ada M
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033143896 NPPES
South Carolina Other 3373 DEPT OF LABOR
South Carolina MEDICAID 413093 DEPT OF LABOR

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