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NPI Code Detail

MEDICARE: FABIENNE PIERRE LCSWA

MEDICARE:   FABIENNE  PIERRE  LCSWA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerP015687ND

General Provider Information

NPI Number : 1285227793
Entity Type Code : Individual
Provider Name (Legal Business Name) : FABIENNE PIERRE LCSWA
Provider Business Mailing Address
First Line : 4000 WAKE FOREST RD
Second Line :
City : RALEIGH
State : NC
Zip : 27609-6879
Country : US
Telephone Number : 919-865-8710
Fax Number :
Provider Business Practice Location Address
First Line : 113 OTTER CREST WAY
Second Line :
City : HOLLY SPRINGS
State : NC
Zip : 27540-7291
Country : US
Telephone Number : 919-624-4236
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2021
Last Update Date : 02/16/2021

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Directions to “ FABIENNE PIERRE LCSWA” Practice Location

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