Black, Sharon Lajoyce

Black, Sharon Lajoyce is an individual health care provider with primary practice located at 360 N Irby St , Florence SC 29501. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Black, Sharon Lajoyce can be contacted via phone (843) 667-9414.

Contact Information

Primary practice address
360 N Irby St Florence SC 29501
Fax: (843) 667-1362
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 9770 South Carolina

Profile Details

NPI number 1720375215
LBN Legal business name Black, Sharon Lajoyce
Credentials LISW-CP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2011
Last updated Oct 14th, 2019 - about 7 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 1720375215 NPPES
South Carolina MEDICAID LW1021

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