Individual
MS. MICHELLE A LIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RN, CS, CCM
Contact information
Practice address
113 MILES PARK DR, COLUMBIA, SC 29223-3289
(803) 788-0400
(803) 788-4341
Mailing address
113 MILES PARK DR, COLUMBIA, SC 29223-3289
(803) 788-0400
(803) 788-4341
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
R 73981
SC
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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