Provider Demographics
NPI:1144647918
Name:DARMOGRAY, DEBORAH (LMSW)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:DARMOGRAY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:COHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:2500 7TH AVE S
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ESCANABA
Mailing Address - State:MI
Mailing Address - Zip Code:49829-1176
Mailing Address - Country:US
Mailing Address - Phone:906-233-1214
Mailing Address - Fax:
Practice Address - Street 1:2500 7TH AVE S
Practice Address - Street 2:SUITE 100
Practice Address - City:ESCANABA
Practice Address - State:MI
Practice Address - Zip Code:49829-1176
Practice Address - Country:US
Practice Address - Phone:906-233-1214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-18
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010910171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical