Doctor Name: | RAVEN GRACE LEFEBVRE |
NPI Number: | 1497947741 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | C005672 |
Business Practice Address: | 63 Stamp Act Dr Bolivia, NC - 28422 |
Business Phone Number: | 9102534485 |
Business Fax Number: | 9102537871 |
Mailing Address: | 1409 Pinckney St, WHITEVILLE |
State: | NC |
Postal Code: | 284722220 |
Phone Number: | 9106410600 |
Fax Number: | 9106414178 |
NPI Enumeration Date: | 08/10/2007 |
NPI Last Update Date: | 08/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C005672 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |