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1003590340
JERRY LEE ALLRED
SUMTER, SC
NPI
1003590340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: SC 6824)
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
MR. JERRY LEE ALLRED LISW-CP
11 CROSSWELL DR
SUMTER, SC 29150-3611
Phone number: 803-803-6511
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Mailing Address
MR. JERRY LEE ALLRED LISW-CP
11 CROSSWELL DR
SUMTER, SC 29150-3611
Phone number: 803-651-1300
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