Individual
DERRICK SAMUEL PEGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2821 IRON GATE LN, CHARLOTTE, NC 28212-2601
(704) 352-9895
Mailing address
2821 IRON GATE LN, CHARLOTTE, NC 28212-2601
(704) 352-9895
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C017160
NC
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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