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Organization
ILENE LILLIAN BAYER LCSW PLLC
Active
Organization
ILENE LILLIAN BAYER LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ILENE LILLIAN BAYER LCSW (SOLE PRACTITIONER)
(336) 443-4116
Entity
Organization
Contact information
Practice address
119 N CRUTCHFIELD ST, DOBSON, NC 27017-8804
(336) 443-4116
(336) 443-4092
Mailing address
PO BOX 1022, 119 A N CRUTCHFIELD STREET, DOBSON, NC 27017-1022
(336) 443-4116
(336) 443-4092
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C00761
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6007433
—
NC
Enumeration date
08/13/2013
Last updated
08/13/2013
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