Provider Information for 1497191753
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Mrs. ERIKA RAYNOR MSW, LCSW
Other Names:Former Name:Ms. ERIKA C BRANHAM LCSWSex: Female
NPI: 1497191753
Last Updated: 2016-08-25
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1497191753 | ||||||||||||
| Enumeration Date | 2013-05-14 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 9261 FAYETTEVILLE, NC 28311-9083 United States Phone: 910-527-0548 | Fax:910-491-6123 | ||||||||||||
| Primary Practice Address | 143 LOFTON DR FAYETTEVILLE, NC 28311-3431 United States Phone: 910-527-0458 | Fax: | ||||||||||||
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