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NPI Code Detail

MEDICARE: JILL SUSAN REED LMSW

MEDICARE: JILL SUSAN REED LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC007773NC

General Provider Information

NPI Number : 1205913399
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL SUSAN REED LMSW
Provider Business Mailing Address
First Line : 72 BLUE RIDGE LN
Second Line :
City : BURNSVILLE
State : NC
Zip : 28714-7270
Country : US
Telephone Number : 828-682-2111
Fax Number :
Provider Business Practice Location Address
First Line : 72 BLUE RIDGE LN
Second Line :
City : BURNSVILLE
State : NC
Zip : 28714-7270
Country : US
Telephone Number : 828-682-2111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/31/2014

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