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Individual

AMY BETH VAN DE MOTTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1115 E MOREHEAD ST, CHARLOTTE, NC 28204-2886
(979) 670-4584
Mailing address
212 DIXIE AVE, WILMINGTON, NC 28403-4507
(434) 960-6292

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007753
NC

Other

Enumeration date
10/19/2010
Last updated
09/11/2023
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