Individual
DAVID KOZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW-A
Contact information
Practice address
203 N MAIN ST STE 216, ROXBORO, NC 27573-5343
(336) 322-0657
Mailing address
399 LOUISIANA DR, RAEFORD, NC 28376-6017
(910) 585-9047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014528
NC
Other
Enumeration date
12/03/2020
Last updated
02/22/2021
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