MEDICARE: MICHELLE R TURNER LCSW

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
1	1041C0700X	Clinical Social Worker	C005028	NC

General Provider Information

NPI Number	:	1215267901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE R TURNER LCSW

Provider Business Mailing Address
First Line	:	3040 HAMMOND BUSINESS PL
Second Line	:	SUITE 105
City	:	RALEIGH
State	:	NC
Zip	:	27603-3666
Country	:	US
Telephone Number	:	919-899-6259
Fax Number	:	919-838-9074

Provider Business Practice Location Address
First Line	:	3040 HAMMOND BUSINESS PL
Second Line	:	SUITE 105
City	:	RALEIGH
State	:	NC
Zip	:	27603-3666
Country	:	US
Telephone Number	:	919-899-6259
Fax Number	:	919-838-9074

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2010
Last Update Date	:	06/17/2015

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