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Organization
NORTH RALEIGH FAMILY CLINIC
Active
Organization
NORTH RALEIGH FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD JORDAN LMFT (CLINIC ADMINISTRATOR)
(919) 872-9974
Entity
Organization
Contact information
Practice address
5850 FARINGDON PL, RALEIGH, NC 27609-3930
(919) 872-9974
Mailing address
5850 FARINGDON PL, RALEIGH, NC 27609-3930
(919) 872-9974
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C000909
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903347
—
NC
05
—
6005799
—
NC
Enumeration date
06/23/2006
Last updated
08/22/2020
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