MEDICARE: JULIE ANNE HOVRUD 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
1	1041C0700X	Clinical Social Worker	C005394	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730284662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE ANNE HOVRUD MSW, LCSW

Provider Business Mailing Address
First Line	:	4010 BARRETT DR
Second Line	:	SUITE 201
City	:	RALEIGH
State	:	NC
Zip	:	27609-6622
Country	:	US
Telephone Number	:	919-810-0858
Fax Number	:	919-900-8182

Provider Business Practice Location Address
First Line	:	4010 BARRETT DR
Second Line	:	SUITE 201
City	:	RALEIGH
State	:	NC
Zip	:	27609-6622
Country	:	US
Telephone Number	:	919-810-0858
Fax Number	:	919-900-8182

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	05/02/2013

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