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NPI Code Detail

MEDICARE: MS. JUNE COLLIER LISW-CP

MEDICARE:  MS. JUNE  COLLIER  LISW-CP
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 Worker

General Provider Information

NPI Number : 1851975940
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JUNE COLLIER LISW-CP
Provider Business Mailing Address
First Line : PO BOX 16091
Second Line :
City : SURFSIDE BEACH
State : SC
Zip : 29587-6091
Country : US
Telephone Number : 843-894-0000
Fax Number :
Provider Business Practice Location Address
First Line : 215 RONNIE CT STE C
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29579-4204
Country : US
Telephone Number : 843-894-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2021
Last Update Date : 05/06/2021

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Directions to “ MS. JUNE COLLIER LISW-CP” Practice Location

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