MR. Micheal G Gore, MSSA, MSW, LISW
NPI #1427412162 in Sumter, South Carolina
Provider Information
- NPI Number
- 1427412162
- Entity Type
- Individual
- Name
- MR. Micheal G Gore, MSSA, MSW, LISW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSSA, MSW, LISW
- Enumeration Date
- Apr 8, 2016
- Last Updated
- Jan 9, 2017
Practice Location
- Address
- 130 BROAD ST
- City
- Sumter
- State
- South Carolina
- ZIP Code
- 29150-4237
- Phone
- (803) 467-1263
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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