Provider Demographics
NPI:1821879214
Name:RAGER, REBA
Entity Type:Individual
Prefix:
First Name:REBA
Middle Name:
Last Name:RAGER
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 1:32055 LIGHT ST UNIT 4301
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19947-5495
Mailing Address - Country:US
Mailing Address - Phone:302-245-8520
Mailing Address - Fax:
Practice Address - Street 1:32055 LIGHT ST UNIT 4301
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-5495
Practice Address - Country:US
Practice Address - Phone:302-245-8520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker