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NPI Code Detail

MEDICARE: MRS. DEBORAH PARK HOLMES LCSW

MEDICARE: MRS. DEBORAH PARK HOLMES 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 Worker16376CA

General Provider Information

NPI Number : 1689743759
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBORAH PARK HOLMES LCSW
Provider Business Mailing Address
First Line : 1236 CHAPALA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93101-3116
Country : US
Telephone Number : 805-685-4807
Fax Number : 805-963-6707
Provider Business Practice Location Address
First Line : 1236 CHAPALA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93101-3116
Country : US
Telephone Number : 805-685-4807
Fax Number : 805-963-6707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 07/08/2007

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