Provider Demographics
NPI:1568696524
Name:LOHR, JUDY (MSW, LISW)
Entity Type:Individual
Prefix:MRS
First Name:JUDY
Middle Name:
Last Name:LOHR
Suffix:
Gender:F
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:897 MAGNOLIA BLUFF CIRCLE
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902
Mailing Address - Country:US
Mailing Address - Phone:843-575-8316
Mailing Address - Fax:
Practice Address - Street 1:2201 BOUNDARY ST
Practice Address - Street 2:SUITE 210
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-3860
Practice Address - Country:US
Practice Address - Phone:843-575-8316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC60461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical