Keosha Duson, | |
204 N Main St, Tarboro, NC 27886-5008 | |
(252) 916-6048 | |
Not Available |
Full Name | Keosha Duson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 204 N Main St, Tarboro, 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 |
---|---|---|---|
1750948634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | P013437 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | C014340 (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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Keosha Duson, 3106 S Memorial Dr, Greenville, NC 27834-6765 Ph: () - | Keosha Duson, 204 N Main St, Tarboro, NC 27886-5008 Ph: (252) 916-6048 |
Kendra Holley Mcghee, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2109 Saint Andrew St, Tarboro, NC 27886 Phone: 252-544-1989 | |
Mrs. Lashaunda Antoinette Gilbert, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2433 Saint Andrew St, Tarboro, NC 27886 Phone: 252-641-9990 Fax: 252-641-9997 | |
Meaghan Foster, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 N Main St, Tarboro, NC 27886 Phone: 252-916-6048 | |
Lashaunda Lucas, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2109 Saint Andrew St, Tarboro, NC 27886 Phone: 252-641-0990 Fax: 252-641-9997 | |
Susan Whicker, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-641-8309 | |
Dawn Demetris Burton, MSW, LCSW-A Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3503 N Main St, Tarboro, NC 27886 Phone: 252-823-8448 |