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NPI Code Detail

MEDICARE: MRS. LORA SUE WILLIAMS LCSW

MEDICARE:  MRS. LORA SUE WILLIAMS  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 WorkerC008251NC

General Provider Information

NPI Number : 1881033835
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LORA SUE WILLIAMS LCSW
Provider Business Mailing Address
First Line : 176 CLAIRE DR
Second Line :
City : CLAYTON
State : NC
Zip : 27520-5539
Country : US
Telephone Number : 919-550-1921
Fax Number :
Provider Business Practice Location Address
First Line : 501 GATEWAY DR
Second Line : SUITE 101
City : CLAYTON
State : NC
Zip : 27520-2277
Country : US
Telephone Number : 919-744-4461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2013
Last Update Date : 09/05/2018

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Directions to “ MRS. LORA SUE WILLIAMS LCSW” Practice Location

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