Individual
MRS. KERI SPONSELLER DRIGGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6488
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01078719
MEDICARE RAILROAD
SC
05
—
SW1034
—
SC
Enumeration date
04/13/2007
Last updated
11/27/2013
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