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NPI Code Detail

MEDICARE: LOUISE BARGO BILLER LCSW

MEDICARE:   LOUISE BARGO BILLER  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
11041C0700XClinical Social WorkerCOO4359NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21382FOTHERNCBC/BS

General Provider Information

NPI Number : 1245284173
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOUISE BARGO BILLER LCSW
Provider Business Mailing Address
First Line : 141 SKYLINE DR
Second Line :
City : MAPLE HILL
State : NC
Zip : 28454-8604
Country : US
Telephone Number : 910-347-7994
Fax Number :
Provider Business Practice Location Address
First Line : 2444 COMMERCE RD
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-7560
Country : US
Telephone Number : 910-347-7994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2006
Last Update Date : 07/08/2007

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Directions to “ LOUISE BARGO BILLER LCSW” Practice Location

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