Provider Information for 1902396914
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LINDA B JARELS LPC
Sex: Female
NPI: 1902396914
Last Updated: 2024-03-11
Certification Date: 2024-02-02
Certification Date: 2024-02-02
Details
| Name | Value | ||||||||
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| NPI | 1902396914 | ||||||||
| Enumeration Date | 2018-05-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1392 DOGWOOD DIVE ORANGEBURG, SC 29118-2042 United States Phone: 843-810-6478 | Fax: | ||||||||
| Primary Practice Address | 2323 SAINT MATTHEWS RD ORANGEBURG, SC 29118-2042 United States Phone: 803-534-0042 | Fax:803-531-0676 | ||||||||
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