| Laura M. Barry Msw, Lcsw, Inc. | |
|
2018 Fort Bragg Rd Suite 114a Fayetteville NC 28303-7037 | |
| (910) 485-0940 | |
| (910) 323-6030 |
| Full Name | Laura M. Barry Msw, Lcsw, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 2018 Fort Bragg Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Laura Marie Barry (OWNER) |
| Authorized Official Contact | 9104850940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura M. Barry Msw, Lcsw, Inc. Po Box 9728 Fayetteville NC 28311-9091 Ph: (910) 485-0940 | Laura M. Barry Msw, Lcsw, Inc. 2018 Fort Bragg Rd Suite 114a Fayetteville NC 28303-7037 Ph: (910) 485-0940 |
| NPI Number | 1558526517 |
|---|---|
| Provider Enumeration Date | 07/18/2008 |
| Last Update Date | 10/03/2011 |
| Medicare PECOS PAC ID | 6608943782 |
|---|---|
| Medicare Enrollment ID | O20080916000523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558526517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C002965 (North Carolina) | Primary |
| Provider Name | Laura M Barry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023086311 PECOS PAC ID: 2668548892 Enrollment ID: I20080911000452 |
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