Provider Demographics
NPI:1215166848
Name:RAGO, DEBORAH MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:MARIE
Last Name:RAGO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10563
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:AR
Mailing Address - Zip Code:71730-0003
Mailing Address - Country:US
Mailing Address - Phone:870-639-3907
Mailing Address - Fax:866-644-2617
Practice Address - Street 1:1906 W HILLSBORO ST
Practice Address - Street 2:STE A
Practice Address - City:EL DORADO
Practice Address - State:AR
Practice Address - Zip Code:71730-6806
Practice Address - Country:US
Practice Address - Phone:870-639-3907
Practice Address - Fax:866-644-2617
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-02
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1220-C104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker