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Organization
FAMILY COUNSELING CENTER
Active
Organization
FAMILY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBER MORK LCSW (CLINICAL SOCIAL WORK)
(704) 403-2692
Entity
Organization
Contact information
Practice address
301 MEDICAL PARK DR, SUITE 202-B, CONCORD, NC 28025-2981
(704) 403-2692
Mailing address
301 MEDICAL PARK DR, SUITE 202-B, CONCORD, NC 28025-2981
(704) 403-2692
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004859
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6106674
—
NC
Enumeration date
06/06/2011
Last updated
06/06/2011
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