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NPI Code Detail

MEDICARE: MRS. LUCRETIA JONES GREAUX LCSWA

MEDICARE: MRS. LUCRETIA JONES GREAUX 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 WorkerP008500NC

General Provider Information

NPI Number : 1487084364
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LUCRETIA JONES GREAUX LCSWA
Provider Business Mailing Address
First Line : 7941 OAK ESTATE ST APT 228
Second Line :
City : RALEIGH
State : NC
Zip : 27617-4266
Country : US
Telephone Number : 252-259-7839
Fax Number :
Provider Business Practice Location Address
First Line : 3000 HIGHWOODS BLVD STE 310
Second Line :
City : RALEIGH
State : NC
Zip : 27604-1029
Country : US
Telephone Number : 919-714-7500
Fax Number : 919-714-7367
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2013
Last Update Date : 11/14/2013

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