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NPI Code Detail

MEDICARE: LAURA L CRAWFORD LMSW

MEDICARE: LAURA L CRAWFORD 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 Worker

General Provider Information

NPI Number : 1023604600
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA L CRAWFORD LMSW
Provider Business Mailing Address
First Line : 630 CHESTNUT RD
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29572-5502
Country : US
Telephone Number : 843-945-1452
Fax Number : 843-945-1489
Provider Business Practice Location Address
First Line : 630 CHESTNUT RD
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29572-5502
Country : US
Telephone Number : 843-945-1452
Fax Number : 843-945-1489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2020
Last Update Date : 09/08/2023

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Directions to “ LAURA L CRAWFORD LMSW” Practice Location

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