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NPI Code Detail

MEDICARE: MRS. ANESSAH MALAYSIA BARKER LMSW

MEDICARE:  MRS. ANESSAH MALAYSIA BARKER  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
1104100000XSocial Worker15996SC

General Provider Information

NPI Number : 1528741030
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANESSAH MALAYSIA BARKER LMSW
Provider Business Mailing Address
First Line : 5 BLYTH CT
Second Line :
City : COLUMBIA
State : SC
Zip : 29210-6111
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1154 SUNNYSIDE DR
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-3387
Country : US
Telephone Number : 803-256-7394
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2023
Last Update Date : 08/10/2023

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Directions to “ MRS. ANESSAH MALAYSIA BARKER LMSW” Practice Location

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