Provider Demographics
NPI:1750505277
Name:MILAN, NANCY PAULETTE (MSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:PAULETTE
Last Name:MILAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2913
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29484-2913
Mailing Address - Country:US
Mailing Address - Phone:843-821-2724
Mailing Address - Fax:
Practice Address - Street 1:1050 REMOUNT RD BLDG 3107
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-3516
Practice Address - Country:US
Practice Address - Phone:843-743-0306
Practice Address - Fax:843-743-0334
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010796801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical