Triumph LLC
NPI #1689710840 in Warrenton, North Carolina
Provider Information
- NPI Number
- 1689710840
- Entity Type
- Organization
- Organization Name
- Triumph LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 29, 2007
- Last Updated
- Jul 30, 2007
Practice Location
- Address
- 548 W RIDGEWAY ST
- City
- Warrenton
- State
- North Carolina
- ZIP Code
- 27589-1716
- Phone
- (252) 257-4071
Authorized Official
- Name
- BRENDA FRAZIER
- Title
- PROVIDER ENROLLMENT SPECIALIST
- Phone
- (919) 256-0824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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