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Individual

DEBRA LEIGH ENG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
8382 SIX FORKS RD STE 104, RALEIGH, NC 27615-5080
(919) 764-4769
(919) 890-0071
Mailing address
7105 EASTRIDGE DR, APEX, NC 27539-9745
(919) 491-3644
(919) 890-0071

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
902
NC
1041C0700X
Clinical Social Worker
Primary
C004789
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2873503A
MEDICARE PTAN
NC
Enumeration date
10/19/2006
Last updated
08/12/2022
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