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Organization
THOMAS M WAITE LCSW
Active
Organization
THOMAS M WAITE LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MICHAEL WAITE MSW, LCSW, PLLC (CEO)
(252) 335-9239
Entity
Organization
Contact information
Practice address
102 CASTLE CT, ELIZABETH CITY, NC 27909-7737
(252) 335-9239
(252) 335-9239
Mailing address
102 CASTLE CT, ELIZABETH CITY, NC 27909-7737
(252) 335-9239
(252) 335-9239
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C003627
NC
Other
Enumeration date
04/25/2015
Last updated
04/25/2015
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