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NPI Code Detail

MEDICARE: DEBORAH WEBSTER LCSW

MEDICARE: DEBORAH WEBSTER 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 Worker3992TN

General Provider Information

NPI Number : 1629008412
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH WEBSTER LCSW
Provider Business Mailing Address
First Line : PO BOX 1788
Second Line :
City : KNOXVILLE
State : TN
Zip : 37901-1788
Country : US
Telephone Number : 865-549-4892
Fax Number : 865-549-2762
Provider Business Practice Location Address
First Line : 2027 N BROADWAY ST
Second Line :
City : KNOXVILLE
State : TN
Zip : 37917-5808
Country : US
Telephone Number : 865-522-8922
Fax Number : 865-521-7293
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2006
Last Update Date : 07/08/2007

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Directions to “ DEBORAH WEBSTER LCSW” Practice Location

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