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NPI Code Detail

MEDICARE: DEBRA HOBAICA MSW

MEDICARE: DEBRA HOBAICA MSW
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1922314699
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA HOBAICA MSW
Provider Business Mailing Address
First Line : 4747 N 7TH ST
Second Line : STE. 100
City : PHOENIX
State : AZ
Zip : 85014-3653
Country : US
Telephone Number : 602-279-7655
Fax Number :
Provider Business Practice Location Address
First Line : 1840 N 95TH AVE STE 160
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-4313
Country : US
Telephone Number : 602-279-7655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2010
Last Update Date : 08/23/2022

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