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NPI Code Detail

MEDICARE: MARIKA DILLARD

MEDICARE: MARIKA DILLARD
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 Worker12389-CNV
21041C0700XClinical Social Worker12772SC

General Provider Information

NPI Number : 1982188553
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIKA DILLARD
Provider Business Mailing Address
First Line : 852 GOLD HILL RD STE 204
Second Line :
City : FORT MILL
State : SC
Zip : 29708-6965
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 852 GOLD HILL RD STE 204
Second Line :
City : FORT MILL
State : SC
Zip : 29708-6965
Country : US
Telephone Number : 803-675-8227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2018
Last Update Date : 06/06/2025

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Directions to “ MARIKA DILLARD ” Practice Location

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