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NPI Code Detail

MEDICARE: BRIAN RAMICH LISW

MEDICARE:   BRIAN  RAMICH  LISW
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 Worker

General Provider Information

NPI Number : 1144607524
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN RAMICH LISW
Provider Business Mailing Address
First Line : 1071 SEA EAGLE WATCH
Second Line :
City : CHARLESTON
State : SC
Zip : 29412-8252
Country : US
Telephone Number : 843-763-2104
Fax Number : 843-654-4850
Provider Business Practice Location Address
First Line : 2000 SAM RITTENBURG BLVD
Second Line : SUITE 2011
City : CHARLESTON
State : SC
Zip : 29407-4631
Country : US
Telephone Number : 843-763-2104
Fax Number : 843-654-4850
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2015
Last Update Date : 08/01/2024

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Directions to “ BRIAN RAMICH LISW” Practice Location

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