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NPI Code Detail

MEDICARE: GLENDA LOIS QUICK MSW, LMSW, AADC

MEDICARE: GLENDA LOIS QUICK MSW, LMSW, AADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor10011811SC
2101Y00000XCounselor
3104100000XSocial Worker12712SC

General Provider Information

NPI Number : 1518276377
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLENDA LOIS QUICK MSW, LMSW, AADC
Provider Business Mailing Address
First Line : 40 BALDWIN AVE
Second Line :
City : LUGOFF
State : SC
Zip : 29078-9406
Country : US
Telephone Number : 803-408-3262
Fax Number : 803-408-8895
Provider Business Practice Location Address
First Line : 40 BALDWIN AVE
Second Line :
City : LUGOFF
State : SC
Zip : 29078-9406
Country : US
Telephone Number : 803-408-3262
Fax Number : 803-408-8895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2010
Last Update Date : 08/12/2021

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