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NPI Code Detail

MEDICARE: HOLLY LYNN LAFFER MSW, LCSW

MEDICARE: HOLLY LYNN LAFFER MSW, 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 WorkerC007330NC

General Provider Information

NPI Number : 1417286170
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY LYNN LAFFER MSW, LCSW
Provider Business Mailing Address
First Line : 3000 HIGHWOODS BLVD STE 310
Second Line :
City : RALEIGH
State : NC
Zip : 27604-1029
Country : US
Telephone Number : 631-988-4571
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 : 631-988-4571
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2009
Last Update Date : 06/30/2014

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