Provider Demographics
NPI:1225601297
Name:RAGLAND, KARLA
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:RAGLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W WOODCROFT PKWY APT 33C
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-8096
Mailing Address - Country:US
Mailing Address - Phone:919-972-1731
Mailing Address - Fax:
Practice Address - Street 1:300 W WOODCROFT PKWY APT 33C
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-8096
Practice Address - Country:US
Practice Address - Phone:919-972-1731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0165501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical