Provider Information for 1508091984
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Mr. DRAUZIN PAUL KERN LCSW
Sex: Male
NPI: 1508091984
Last Updated: 2021-09-22
Certification Date: 2021-09-22
Certification Date: 2021-09-22
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1508091984 | ||||||||||||
| Enumeration Date | 2009-05-28 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 620 E PERRODIN ST RAYNE, LA 70578-6936 United States Phone: 337-680-8896 | Fax: | ||||||||||||
| Primary Practice Address | 620 E PERRODIN ST RAYNE, LA 70578-6936 United States Phone: 337-680-8896 | Fax: | ||||||||||||
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