Gaoshen Cristi Lor, | |
90 Guardian Ct, Rocky Mount, NC 27804-3017 | |
(252) 212-3350 | |
Not Available |
Full Name | Gaoshen Cristi Lor |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 90 Guardian Ct, Rocky Mount, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427702851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | P014606 (North Carolina) | Primary |
Entity Name | Opportunities Industrialization Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396103305 PECOS PAC ID: 3173563590 Enrollment ID: O20161104000262 |
Mailing Address | Practice Location Address |
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Gaoshen Cristi Lor, 2904 Cedar Creek Rd Apt 14, Greenville, NC 27834-1043 Ph: (828) 217-9859 | Gaoshen Cristi Lor, 90 Guardian Ct, Rocky Mount, NC 27804-3017 Ph: (252) 212-3350 |
Erin Graney, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 90 Guardian Ct, Rocky Mount, NC 27804 Phone: 252-212-3350 Fax: 252-212-0322 | |
Mr. Dwight Eugene Harper, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 Nash Medical Arts Mall, Rocky Mount, NC 27804 Phone: 252-937-8141 Fax: 252-443-9574 | |
Miss Tiffany Bazemore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 224 Browning Ln, Rocky Mount, NC 27804 Phone: 252-442-4176 | |
Wendy Leticia Alvarenga-aguirre, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 901 N Winstead Ave Ste 260, Rocky Mount, NC 27804 Phone: 252-210-6530 | |
Ms. Davneatra Foster Campbell, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 90 Guardian Ct, Rocky Mount, NC 27804 Phone: 252-212-3350 Fax: 252-212-0322 | |
Leigh Herring Daughtridge, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 809 Tiffany Boulevard, Rocky Mount, NC 27804 Phone: 252-442-0333 Fax: 252-442-0323 | |
Chelsea Renee' Lynch, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2747 Sunset Ave Ste 109, Rocky Mount, NC 27804 Phone: 252-985-3216 |