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Individual
STEPHANIE E DEBRUHL
Active
Individual
STEPHANIE E DEBRUHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C010192
NC
1041C0700X
Clinical Social Worker
P008813
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043627011
—
NC
01
—
19EF9
BCBS
NC
Enumeration date
07/22/2014
Last updated
12/29/2016
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