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Individual

MR. DARREN LEE DEBO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1367 REGULATOR ST, RALEIGH, NC 27603-3496
(919) 720-4571
(919) 720-4571
Mailing address
1367 REGULATOR ST, RALEIGH, NC 27603-3496
(919) 720-4571
(919) 720-4571

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
5954
FL
1041C0700X
Clinical Social Worker
Primary
C005594
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6106642
NC
Enumeration date
04/16/2007
Last updated
12/29/2011
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