| Ilene Lillian Bayer Lcsw Pllc | |
|
119 N Crutchfield St Dobson NC 27017-8804 | |
| (336) 443-4116 | |
| (336) 443-4092 |
| Full Name | Ilene Lillian Bayer Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 119 N Crutchfield St, Dobson, North Carolina |
| Authorized Official Name and Position | Ilene Lillian Bayer (SOLE PRACTITIONER) |
| Authorized Official Contact | 3364434116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ilene Lillian Bayer Lcsw Pllc Po Box 1022 119 A N Crutchfield Street Dobson NC 27017-1022 Ph: (336) 443-4116 | Ilene Lillian Bayer Lcsw Pllc 119 N Crutchfield St Dobson NC 27017-8804 Ph: (336) 443-4116 |
| NPI Number | 1205269206 |
|---|---|
| Provider Enumeration Date | 08/13/2013 |
| Last Update Date | 08/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205269206 | NPI | - | NPPES |
| 6007433 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C00761 (North Carolina) | Primary |
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