Provider Demographics
NPI:1184211021
Name:ZAMORA-DUPREY, RAUL (MSW, LCSWA)
Entity Type:Individual
Prefix:
First Name:RAUL
Middle Name:
Last Name:ZAMORA-DUPREY
Suffix:
Gender:M
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:ADVAITA
Other - Middle Name:
Other - Last Name:ZAMORA-DUPREY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LCSWA
Mailing Address - Street 1:3096 S. HORNER BLVD
Mailing Address - Street 2:PMB 235
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27332
Mailing Address - Country:US
Mailing Address - Phone:336-840-8981
Mailing Address - Fax:
Practice Address - Street 1:925 N 4TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-3450
Practice Address - Country:US
Practice Address - Phone:910-343-0270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-27
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0154911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical