Individual
MIKELA SALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10682 TWO NOTCH RD APT 10310, ELGIN, SC 29045-9839
(910) 527-1437
Mailing address
10682 TWO NOTCH RD APT 10310, ELGIN, SC 29045-9839
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P2W838954229
BCBS
SC
Enumeration date
01/02/2023
Last updated
01/02/2023
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