Individual
MS. DEBORAH B WELBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1205 TROUP ST, AUGUSTA, GA 30904
(803) 599-2067
Mailing address
454 MISSOURI ST, SAN FRANCISCO, CA 94107
(803) 599-2067
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
000983GA
GA
1041C0700X
Clinical Social Worker
000983
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78728585
UNITED HEALTH CARE
GA
05
—
888PBX
—
GA
01
—
A313596
VALUE OPTIONS
GA
Enumeration date
06/23/2006
Last updated
10/02/2007
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