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NPI Code Detail

MEDICARE: PRISCILA NORRIS LCSW

MEDICARE: PRISCILA NORRIS 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 WorkerC010966NC

General Provider Information

NPI Number : 1437535556
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRISCILA NORRIS LCSW
Provider Business Mailing Address
First Line : 2836 HENDERSON DR
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-5242
Country : US
Telephone Number : 910-939-0836
Fax Number :
Provider Business Practice Location Address
First Line : 2836 HENDERSON DR
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-5242
Country : US
Telephone Number : 910-939-0836
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2015
Last Update Date : 10/31/2019

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Directions to “ PRISCILA NORRIS LCSW” Practice Location

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