Tullock, Michelle L
Tullock, Michelle L is an individual health care provider with primary practice located at 2404 Wise Rd , Conway SC 29526-5521. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Tullock, Michelle L can be contacted via phone (843) 365-8884.Contact Information
Primary practice address
2404 Wise Rd
Conway SC 29526-5521
Phone: (843) 365-8884
Fax: (843) 365-6685
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 10913 | South Carolina |
Profile Details
NPI number | 1578767703 |
---|---|
LBN Legal business name | Tullock, Michelle L |
Credentials | LISW-CP, CACP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 12th, 2007 |
Last updated | Nov 5th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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