Individual
MR. MICHEAL G GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSSA, MSW, LISW
Contact information
Practice address
130 BROAD ST, SUMTER, SC 29150-4237
(803) 467-1263
(803) 774-4378
Mailing address
130 BROAD ST, SUMTER, SC 29150-4237
(803) 467-1263
(803) 774-4378
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6773
SC
Other
Enumeration date
04/08/2016
Last updated
01/09/2017
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