Individual
MICHELE IVERSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
460 WILLIAM HILTON PKWY STE D, HILTON HEAD, SC 29926-2498
(843) 342-2914
Mailing address
9 TIMBER LN, HILTON HEAD, SC 29926-1080
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6111
LICENSE#
SC
Enumeration date
03/22/2007
Last updated
02/08/2008
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