Individual
MRS. DEBRA L FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8401 LAKE WORTH RD, SUITE 219, LAKE WORTH, FL 33467-2400
(561) 312-6622
(561) 713-1175
Mailing address
8401 LAKE WORTH RD, SUITE 219, LAKE WORTH, FL 33467-2400
(561) 312-6622
(561) 713-1175
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
R033108
NY
1041C0700X
Clinical Social Worker
Primary
SW 8023
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01393737
—
NY
01
—
052344
VALUE OPTIONS
FL
01
—
103958735
UNITED BEHAVIORAL HEALTH
FL
01
—
7401290
GHI
NY
01
—
AB354
MEDICARE RENDERING PROVID
FL
Enumeration date
10/11/2005
Last updated
08/18/2011
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