Fox, Debra L

Fox, Debra L is an individual health care provider with primary practice located at 8401 Lake Worth Rd Suite 219, Lake Worth FL 33467-2400. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fox, Debra L can be contacted via phone (561) 312-6622.

Contact Information

Primary practice address
8401 Lake Worth Rd Suite 219 Lake Worth FL 33467-2400
Phone: (561) 312-6622
Fax: (561) 713-1175
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 8023 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X R033108 New York

Profile Details

NPI number 1568450864
LBN Legal business name Fox, Debra L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Aug 18th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568450864 NPPES
Florida Other 052344 VALUE OPTIONS
Florida MEDICAID 01393737 VALUE OPTIONS
Florida Other AB354 VALUE OPTIONS
Florida Other 103958735 VALUE OPTIONS
Florida Other 7401290 VALUE OPTIONS

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