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Individual

MICHELLE C PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW-CP

Contact information

Practice address
1415 HIGHWAY 17 S, NORTH MYRTLE BEACH, SC 29582-3803
(843) 450-8182
Mailing address
900 WATERMARK CT, NORTH MYRTLE BEACH, SC 29582-2574
(206) 305-7455

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15910
SC
1041C0700X
Clinical Social Worker
LW60576422
WA

Other

Enumeration date
11/16/2016
Last updated
05/16/2023
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