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NPI Code Detail

MEDICARE: MENA ANGELA PARRIS LCSW

MEDICARE: MENA ANGELA PARRIS LCSW
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 WorkerC004543 (SOCIAL WORKNC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346398096
Entity Type Code : Individual
Provider Name (Legal Business Name) : MENA ANGELA PARRIS LCSW
Provider Business Mailing Address
First Line : 4022 TECOLOTE WAY
Second Line :
City : HILLSBOROUGH
State : NC
Zip : 27278-8327
Country : US
Telephone Number : 919-451-5912
Fax Number :
Provider Business Practice Location Address
First Line : 433 W MAIN ST
Second Line :
City : DURHAM
State : NC
Zip : 27701-3217
Country : US
Telephone Number : 919-451-5912
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 07/09/2007

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Directions to “ MENA ANGELA PARRIS LCSW” Practice Location

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