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NPI Code Detail

MEDICARE: MS. DEBORAH HILLEBRANDT WRAY LCSW

MEDICARE: MS. DEBORAH HILLEBRANDT WRAY 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 Worker9470LA

General Provider Information

NPI Number : 1932555083
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBORAH HILLEBRANDT WRAY LCSW
Provider Business Mailing Address
First Line : 5025 E BLUEBELL DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-8618
Country : US
Telephone Number : 225-229-4355
Fax Number :
Provider Business Practice Location Address
First Line : 3475 BRENTWOOD DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-1640
Country : US
Telephone Number : 225-229-4355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2016
Last Update Date : 05/08/2016

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