Lora Christi Dukes, LCSW | |
612 Kenwood Dr, Waycross, GA 31501-6904 | |
(912) 288-8531 | |
Not Available |
Full Name | Lora Christi Dukes |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 8 Years |
Location | 612 Kenwood Dr, Waycross, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700487782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW007327 (Georgia) | Secondary |
104100000X | Social Worker | 14050 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Itrust Wellness Group | 0648532028 | 22 |
Entity Name | Itrust Wellness Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629517222 PECOS PAC ID: 0648532028 Enrollment ID: O20180322002663 |
Mailing Address | Practice Location Address |
---|---|
Lora Christi Dukes, LCSW 612 Kenwood Dr, Waycross, GA 31501-6904 Ph: (912) 288-8531 | Lora Christi Dukes, LCSW 612 Kenwood Dr, Waycross, GA 31501-6904 Ph: (912) 288-8531 |
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