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NPI Code Detail

MEDICARE: MRS. DEBORAH D. BRIGHT MSW

MEDICARE: MRS. DEBORAH D. BRIGHT MSW
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 Worker2010036786MO

General Provider Information

NPI Number : 1740295427
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBORAH D. BRIGHT MSW
Provider Business Mailing Address
First Line : 807 COLLINS DR
Second Line :
City : FESTUS
State : MO
Zip : 63028-2346
Country : US
Telephone Number : 636-931-4206
Fax Number : 636-931-5774
Provider Business Practice Location Address
First Line : 807 COLLINS DR
Second Line :
City : FESTUS
State : MO
Zip : 63028-2346
Country : US
Telephone Number : 636-931-4206
Fax Number : 636-931-5774
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2006
Last Update Date : 03/04/2024

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