Individual
MS. DONNA RAE BARTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW CMHT
Contact information
Practice address
621 S LAKESIDE DR, RALEIGH, NC 27606-2233
(919) 412-8046
(919) 859-2780
Mailing address
621 S LAKESIDE DR, RALEIGH, NC 27606-2233
(919) 412-8046
(919) 859-2780
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C004214
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133UK
BLUE CROSS BLUE SHIELD
NC
05
—
6106251
—
NC
Enumeration date
07/14/2006
Last updated
05/30/2010
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