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NPI Code Detail

MEDICARE: STACI L ALUMBAUGH LCSW

MEDICARE: STACI L ALUMBAUGH 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 Worker16880SC

General Provider Information

NPI Number : 1992036115
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACI L ALUMBAUGH LCSW
Provider Business Mailing Address
First Line : PO BOX 547
Second Line :
City : LITTLE RIVER
State : SC
Zip : 29566-0547
Country : US
Telephone Number : 843-663-8294
Fax Number : 843-663-8166
Provider Business Practice Location Address
First Line : 4220 CAROLINA EXCHANGE DR
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29579-4220
Country : US
Telephone Number : 843-663-8000
Fax Number : 843-663-8166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2010
Last Update Date : 10/26/2024

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Directions to “ STACI L ALUMBAUGH LCSW” Practice Location

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