Basic Information
Provider Information
NPI: 1760797435
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FARROW
FirstName: CURRIE
MiddleName: J
NamePrefix: MR.
NameSuffix:  
Credential: MSW, P-LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 715 NICHOLSON RD
Address2:  
City: SANFORD
State: NC
PostalCode: 273320923
CountryCode: US
TelephoneNumber: 9196212084
FaxNumber:  
Practice Location
Address1: 508 FULTON ST
Address2:  
City: DURHAM
State: NC
PostalCode: 277053875
CountryCode: US
TelephoneNumber: 9192860411
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/18/2010
LastUpdateDate: 08/18/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
104100000XP006050NCY Behavioral Health & Social Service ProvidersSocial Worker 

No ID Information.


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