Janis C Raynor, LCSW
Social Worker, Clinical in Fort Gordon, GA. Individual provider (NPI-1).
NPI number1003974445
StatusActive
Last updated in NPPESOct 16, 2013
Details
- NPI
- 1003974445
- Entity type
- Individual (NPI-1)
- Name
- Ms. Janis C Raynor
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2006
- Last updated
- Oct 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 38409 | TX | Yes |
Practice location
300 W Hospital RdDdeamc
Fort Gordon, GA 30905-5741
Phone 706-787-9186 · Fax 706-787-3562
Mailing address
300 W Hospital Rd # 13a-10Ddeamc
Fort Gordon, GA 30905-5741
Phone 706-787-9186 · Fax 706-787-8991
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All 33 Clinical Social Worker providers in Fort Gordon · All 561 providers in Fort Gordon
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