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Organization

DEBRA MINOR-SCHORK LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBRA LYNNE MINOR-SCHORK RN MSN CS (CLINICAL NURSE SPECIALIST)
(252) 632-4063
Entity
Organization

Contact information

Practice address
504 EAST ELIZABETH STREET, SUITE 8, ELIZABETH CITY, NC 27909-4404
(252) 526-8833
(252) 482-7462
Mailing address
119 MONTPELIER DRIVE, EDENTON, NC 27932-8909
(125) 263-2406
(252) 482-5713

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
100093
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6004040
NC
Enumeration date
02/29/2008
Last updated
02/29/2008
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