| J Gallimore Msw,lcsw,pllc | |
|
3491 S Evans St Suite A Greenville NC 27834-4534 | |
| (252) 378-1490 | |
| Not Available |
| Full Name | J Gallimore Msw,lcsw,pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3491 S Evans St, Greenville, North Carolina |
| Authorized Official Name and Position | Joan Ellen Gallimore (THERAPIST) |
| Authorized Official Contact | 2523781490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Gallimore Msw,lcsw,pllc Po Box 179 Grifton NC 28530-0179 Ph: (252) 378-1490 | J Gallimore Msw,lcsw,pllc 3491 S Evans St Suite A Greenville NC 27834-4534 Ph: (252) 378-1490 |
| NPI Number | 1134450174 |
|---|---|
| Provider Enumeration Date | 01/14/2010 |
| Last Update Date | 03/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134450174 | NPI | - | NPPES |
| 1179F | Other | NC | BCBS |
| 6007022 | Medicaid | NC | |
| 2048510 | Other | NC | CIGNA BEHAV HEALTH |
| 187374 | Other | NC | MEDCOST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C002860 (North Carolina) | Primary |
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