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NPI Code Detail

MEDICARE: KATHERINE GREIG LCSWA, MSW, LGSW

MEDICARE:   KATHERINE  GREIG  LCSWA, MSW, LGSW
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 WorkerP009845NC

General Provider Information

NPI Number : 1154791689
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE GREIG LCSWA, MSW, LGSW
Provider Business Mailing Address
First Line : 2875 WORTH DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-6248
Country : US
Telephone Number : 910-392-4881
Fax Number :
Provider Business Practice Location Address
First Line : 2875 WORTH DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-6248
Country : US
Telephone Number : 910-392-4881
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2015
Last Update Date : 09/27/2015

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Directions to “ KATHERINE GREIG LCSWA, MSW, LGSW” Practice Location

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