Individual
MILAGROS NORIEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7335
(518) 836-9301
Mailing address
PO BOX 923, LITTLE RIVER, SC 29566-0923
(518) 836-9301
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
19024
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19024
OASAS
SC
Enumeration date
02/14/2019
Last updated
02/14/2019
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