Individual
DEBORAH S ZOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1937 W CORNWALLIS RD, DURHAM, NC 27705-5707
(919) 354-4922
(919) 354-4960
Mailing address
1937 W CORNWALLIS RD, DURHAM, NC 27705-5707
(919) 354-4922
(919) 354-4960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C005076
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1400V
BCBS
NC
05
—
6106538
—
NC
Enumeration date
07/18/2006
Last updated
01/24/2012
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