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NPI Code Detail

MEDICARE: MS. CATHERINE RUTH FLETCHER LCSW

MEDICARE: MS. CATHERINE RUTH FLETCHER 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 WorkerC000320NC

General Provider Information

NPI Number : 1689696056
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CATHERINE RUTH FLETCHER LCSW
Provider Business Mailing Address
First Line : 4702 TAPROOT LN
Second Line :
City : DURHAM
State : NC
Zip : 27705-8100
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2020 W MAIN ST
Second Line : STE. 301
City : DURHAM
State : NC
Zip : 27705-4683
Country : US
Telephone Number : 919-286-3453
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 07/08/2007

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