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Organization
LISA B CREEF LCSW, PC
Active
Organization
LISA B CREEF LCSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA B CREEF LCSW (PRESIDENT)
(252) 335-5346
Entity
Organization
Contact information
Practice address
1241 B NORTH ROAD ST, ELIZABETH CITY, NC 27909-3335
(252) 335-5346
(252) 335-5365
Mailing address
PO BOX 188, SOUTH MILLS, NC 27976-0188
(252) 335-5346
(252) 335-5365
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904001497
VA
1041C0700X
Clinical Social Worker
Primary
C006138
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
332387
BC/BS
VA
05
—
6007190
—
NC
05
—
8909725
—
VA
Enumeration date
09/29/2008
Last updated
02/17/2009
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