Individual
CAROL RETSCH-BOGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2200 WEST MAIN STREET, SUITE 700, DURHAM, NC 27705-4640
(919) 416-1727
(919) 286-1121
Mailing address
BOX 3834 DUMC, DURHAM, NC 27710-0001
(919) 416-1727
(919) 286-1121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C000395
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C000395
N.C. SOCIAL WORK LISENCE
NC
Enumeration date
11/30/2006
Last updated
07/08/2007
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