Individual
DIASIA LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
7048 KNIGHTDALE BLVD STE 220C, KNIGHTDALE, NC 27545-8894
(910) 746-3902
Mailing address
7048 KNIGHTDALE BLVD STE 220C, KNIGHTDALE, NC 27545-8894
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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