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NPI Code Detail

MEDICARE: PAMELA JEAN KURAS LCSW

MEDICARE:   PAMELA JEAN KURAS  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 Worker

General Provider Information

NPI Number : 1679055891
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA JEAN KURAS LCSW
Provider Business Mailing Address
First Line : PO BOX 2564
Second Line :
City : SMITHFIELD
State : NC
Zip : 27577-2564
Country : US
Telephone Number : 919-912-5736
Fax Number :
Provider Business Practice Location Address
First Line : 58 OLD ROBERTS RD
Second Line :
City : BENSON
State : NC
Zip : 27504-8047
Country : US
Telephone Number : 919-912-5736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2018
Last Update Date : 08/04/2022

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Directions to “ PAMELA JEAN KURAS LCSW” Practice Location

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