MEDICARE: DEBORAH H. MCNEILL, PLLC

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		NC

General Provider Information

NPI Number	:	1629445861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEBORAH H. MCNEILL, PLLC

Provider Business Mailing Address
First Line	:	1929 EWING AVE
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-5766
Country	:	US
Telephone Number	:	704-517-2288
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 E 7TH ST
Second Line	:	SUITE 6
City	:	CHARLOTTE
State	:	NC
Zip	:	28204-2456
Country	:	US
Telephone Number	:	704-565-9225
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL SOCIAL WORKER
Name	:	MS. DEBORAH HANCOCK MCNEILL
Credential	:	MSW, LCSW
Telephone Number	:	704-517-2288

Provider Enumeration Date	:	08/24/2015
Last Update Date	:	08/24/2015

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