Individual
MR. DAMEKO NAISHON THORPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW,LCSWA
Contact information
Practice address
1977 J N PEASE PL STE 104, CHARLOTTE, NC 28262-4528
(704) 274-2978
Mailing address
11621 RUDOLPH PLACE DR, PINEVILLE, NC 28134-9155
(803) 347-6668
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-25384
NC
1041C0700X
Clinical Social Worker
P007853
NC
Other
Enumeration date
02/01/2013
Last updated
09/26/2019
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