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NPI Code Detail

MEDICARE: LOUISA R MCBETH LCSW

MEDICARE: LOUISA R MCBETH 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 WorkerC000816NC

General Provider Information

NPI Number : 1881641991
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOUISA R MCBETH LCSW
Provider Business Mailing Address
First Line : PO BOX 2723
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27802-2723
Country : US
Telephone Number : 252-212-3350
Fax Number : 252-212-0322
Provider Business Practice Location Address
First Line : 90 GUARDIAN CT
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-3017
Country : US
Telephone Number : 252-212-3350
Fax Number : 252-212-0322
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2006
Last Update Date : 06/22/2016

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Directions to “ LOUISA R MCBETH LCSW” Practice Location

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